A list of the most recent deficiencies for San Gabriel Conv Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-01-17 | 2024-02-09 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-06-13 | 2023-07-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-22 | 2023-03-15 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-22 | 2023-03-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-29 | 2022-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-22 | 2022-03-16 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-02-11 | 2022-03-16 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-02-11 | 2022-03-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-02-11 | 2022-03-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-11 | 2022-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-11 | 2022-03-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-02-11 | 2022-03-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-11 | 2022-03-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-02-11 | 2022-03-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-02-11 | 2022-03-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-02-11 | 2022-03-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-11 | 2022-03-15 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-02-11 | 2022-03-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-02-11 | 2022-03-15 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2022-02-11 | 2022-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-11 | 2022-03-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-11 | 2022-03-15 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-10-10 | 2019-12-02 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-10-10 | 2019-12-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-10 | 2019-12-02 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-10-10 | 2019-12-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-10 | 2019-12-02 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-10 | 2019-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-10 | 2019-12-02 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-10 | 2019-12-02 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-10-10 | 2019-12-02 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-12-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-10 | 2019-12-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-10-29 | 2018-12-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-10-19 | 2018-11-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-19 | 2018-11-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-10-19 | 2018-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-19 | 2018-11-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-10-19 | 2018-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-19 | 2018-11-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-10-19 | 2018-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-19 | 2018-11-19 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-10-19 | 2018-11-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2018-10-19 | 2018-11-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-19 | 2018-11-19 | N |
| Post nurse staffing information every day. | Health | 2018-10-19 | 2018-11-19 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-10-19 | 2018-11-19 | N |
| Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs. | Health | 2018-10-19 | 2018-11-19 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-10-19 | 2018-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-19 | 2018-11-19 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-10-19 | 2018-11-19 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2018-10-19 | 2018-11-19 | N |
