Deficiency Records for San Jacinto Healthcare
Updated as of July 01, 2020
This is not the most recent data for San Jacinto Healthcare. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-10 | 2020-02-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-02-10 | 2020-02-21 | Y |
| Have policies on smoking. | Health | 2020-02-10 | 2020-02-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-02 | 2020-01-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-27 | 2019-10-11 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-09-09 | 2019-09-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-09-09 | 2019-09-23 | Y |
| Post nurse staffing information every day. | Health | 2019-09-09 | 2019-09-23 | Y |
| 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 |
| 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 | Y |
| 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 |
| 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 |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-22 | 2018-04-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-03-09 | 2018-04-16 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-09 | 2018-04-16 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-03-09 | 2018-04-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-02-08 | 2018-02-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-30 | 2017-11-20 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-21 | 2017-08-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-21 | 2017-08-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-21 | 2017-08-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-21 | 2017-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-21 | 2017-08-23 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-07-21 | 2017-08-23 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-07-21 | 2017-08-23 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-21 | 2017-08-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-07-21 | 2017-08-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-21 | 2017-08-23 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-07-21 | 2017-08-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-16 | 2017-06-08 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-16 | 2017-06-08 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-16 | 2017-06-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-16 | 2017-06-08 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-16 | 2017-06-08 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-05-11 | 2017-05-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-20 | 2017-05-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-20 | 2017-05-09 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-20 | 2017-05-09 | Y |
