Deficiency Records for San Jacinto Healthcare
Updated as of October 01, 2021
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? |
---|---|---|---|---|
Provide and implement an infection prevention and control program. | Health | 2020-08-18 | 2020-09-22 | N |
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 |
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 |
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 |
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 |
Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-27 | 2017-09-06 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-27 | 2017-09-06 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-07-27 | 2017-09-06 | N |
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 |