CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for San Rafael Healthcare and Wellness Center, LP
View the most recent health deficiencies and inspection results for San Rafael Healthcare and Wellness Center, LP. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for San Rafael Healthcare and Wellness Center, LP. Stay informed about quality of care issues.
| 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 | 2025-12-23 | 2026-01-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-18 | 2025-08-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-03 | 2025-07-01 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-06-03 | 2025-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-03 | 2025-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-07 | 2025-05-16 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-04-23 | 2025-05-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-04-23 | 2025-05-13 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-04-10 | 2025-05-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-27 | 2025-04-29 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-03-20 | 2025-04-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-20 | 2025-04-17 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-03-20 | 2025-04-17 | 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 | 2025-03-20 | 2025-04-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-20 | 2025-04-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-20 | 2025-04-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-20 | 2025-04-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-20 | 2025-04-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-03-20 | 2025-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-20 | 2025-04-17 | 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 | 2025-03-20 | 2025-04-17 | 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 | 2025-03-20 | 2025-04-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-03-20 | 2025-04-17 | 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 | 2025-03-20 | 2025-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-20 | 2025-04-17 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-03-20 | 2025-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-20 | 2025-04-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-03-20 | 2025-04-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2025-03-24 | 2025-04-16 | Y |
| 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 | 2025-03-24 | 2025-04-16 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-03-20 | 2025-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-20 | 2025-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-03-20 | 2025-03-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-20 | 2025-03-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2025-03-20 | 2025-03-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-24 | 2025-03-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-24 | 2025-03-12 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2025-02-24 | 2025-03-12 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-19 | 2024-09-20 | Y |
| 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 | 2024-05-07 | 2024-07-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-07 | 2023-11-30 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-02 | 2023-08-02 | Y |
| 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 | 2023-05-25 | 2023-07-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-25 | 2023-07-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-05-25 | 2023-07-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-25 | 2023-07-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-25 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-07-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-25 | 2023-07-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-25 | 2023-07-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-05-25 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-07-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-25 | 2023-07-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-07-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-25 | 2023-06-28 | 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 | 2023-05-25 | 2023-06-28 | 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 | 2023-05-25 | 2023-06-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-25 | 2023-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Use approved construction type or materials. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-17 | 2020-03-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-17 | 2020-03-16 | 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 | 2020-01-17 | 2020-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-17 | 2020-03-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-03-16 | N |