A list of the most recent deficiencies for The Sequoias. 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 special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-01-10 | 2022-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-10 | 2022-01-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-10 | 2022-01-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-01-10 | 2022-01-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-30 | 2022-01-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-30 | 2022-01-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-30 | 2022-01-27 | 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 | 2021-12-30 | 2022-01-27 | N |
| Dispose of garbage and refuse properly. | Health | 2021-12-30 | 2022-01-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-30 | 2022-01-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-30 | 2019-12-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-10-30 | 2019-12-13 | 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 | 2019-09-26 | 2019-12-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-09-26 | 2019-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-28 | 2018-12-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-28 | 2018-12-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-28 | 2018-12-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-28 | 2018-12-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-28 | 2018-12-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-21 | 2018-11-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-21 | 2018-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-21 | 2018-11-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-09-21 | 2018-11-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-21 | 2018-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-21 | 2018-11-30 | 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 | 2018-09-21 | 2018-11-30 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2018-09-21 | 2018-11-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-21 | 2018-11-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-21 | 2018-11-30 | 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 | 2018-09-21 | 2018-11-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-21 | 2018-11-30 | 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 | 2018-09-21 | 2018-11-30 | 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 | 2018-09-21 | 2018-11-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-21 | 2018-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-21 | 2018-11-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-09-21 | 2018-11-30 | N |
