A list of the most recent deficiencies for Lodi Creek Post Acute. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-22 | 2023-09-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-04 | 2023-09-01 | 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 | 2023-08-04 | 2023-09-01 | 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 | 2023-08-04 | 2023-09-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-04 | 2023-09-01 | 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 | 2023-08-04 | 2023-09-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-04 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-04 | 2023-09-01 | N |
| Keep all essential equipment working safely. | Health | 2023-08-04 | 2023-09-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-04 | 2023-09-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-16 | 2023-08-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-04-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-06 | 2022-10-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-04 | 2022-09-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-22 | 2022-05-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-22 | 2022-05-25 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-06 | 2019-08-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-21 | 2019-07-23 | 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 | 2019-06-21 | 2019-07-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-06-21 | 2019-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-21 | 2019-07-23 | N |
| 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 | 2019-06-21 | 2019-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-07-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-06-21 | 2019-07-23 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-06-21 | 2019-07-23 | N |
| Keep all essential equipment working safely. | Health | 2019-06-21 | 2019-07-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-21 | 2019-07-23 | 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 | 2018-04-20 | 2018-05-16 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2018-04-20 | 2018-05-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-04-20 | 2018-05-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-20 | 2018-05-16 | 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 | 2018-04-20 | 2018-05-16 | N |
| Post nurse staffing information every day. | Health | 2018-04-20 | 2018-05-16 | 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 | 2018-04-20 | 2018-05-16 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-04-20 | 2018-05-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-20 | 2018-05-16 | N |
| Keep all essential equipment working safely. | Health | 2018-04-20 | 2018-05-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-20 | 2018-05-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
| Develop a communication plan. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-05-02 | 2018-05-14 | 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 | 2018-05-02 | 2018-05-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-05-02 | 2018-05-14 | N |
