A list of the most recent deficiencies for San Jacinto Healthcare. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-03 | 2024-01-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-11 | 2023-11-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-28 | 2023-04-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-15 | 2023-03-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-26 | 2022-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-26 | 2022-10-10 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2022-06-15 | 2022-07-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-15 | 2022-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-15 | 2022-07-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-15 | 2022-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-15 | 2022-07-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-06-15 | 2022-07-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-09 | 2022-07-09 | 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 | 2022-06-09 | 2022-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-09 | 2022-07-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-13 | 2019-09-11 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-08-13 | 2019-09-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-13 | 2019-09-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-25 | 2019-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-25 | 2019-09-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-25 | 2019-09-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-07-25 | 2019-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-25 | 2019-09-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-07-25 | 2019-09-10 | 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 | 2019-07-25 | 2019-09-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-25 | 2019-09-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-07-25 | 2019-09-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-09-10 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-10-19 | 2018-11-05 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-19 | 2018-11-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-10-19 | 2018-11-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-10-19 | 2018-11-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-19 | 2018-11-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-19 | 2018-11-05 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-19 | 2018-11-05 | 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 | 2018-07-26 | 2018-08-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-26 | 2018-08-22 | 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 | 2018-07-26 | 2018-08-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-07-26 | 2018-08-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-07-26 | 2018-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-26 | 2018-08-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-26 | 2018-08-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-07-26 | 2018-08-22 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-07-26 | 2018-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-26 | 2018-08-22 | N |
