A list of the most recent deficiencies for Downey 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-24 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-15 | 2023-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-28 | 2023-10-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-21 | 2023-09-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-15 | 2023-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-22 | 2023-04-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-22 | 2023-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-01 | 2023-02-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-26 | 2022-10-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-26 | 2022-10-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-09-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-16 | 2022-09-10 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-13 | 2022-08-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-28 | 2022-07-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-12 | 2021-10-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-29 | 2021-10-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-24 | 2021-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-24 | 2021-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-10-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-06-28 | 2021-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-28 | 2021-07-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-04 | 2021-07-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-06-04 | 2021-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-04 | 2021-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-04 | 2021-07-20 | 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 | 2021-06-04 | 2021-07-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-06-04 | 2021-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-04 | 2021-07-20 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-06-04 | 2021-07-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-06-04 | 2021-07-20 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-06-04 | 2021-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-04 | 2021-07-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-04 | 2021-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-04 | 2021-07-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-04 | 2021-07-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-06-04 | 2021-07-20 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-18 | 2021-07-13 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-18 | 2021-07-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-18 | 2021-07-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-28 | 2019-06-06 | 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 | 2019-04-28 | 2019-06-06 | 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 | 2019-04-28 | 2019-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-28 | 2019-06-06 | 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 | 2019-04-28 | 2019-06-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-28 | 2019-06-06 | 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 | 2019-04-28 | 2019-06-06 | N |
| Post nurse staffing information every day. | Health | 2019-04-28 | 2019-06-06 | 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 | 2019-04-28 | 2019-06-06 | 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 | 2019-04-28 | 2019-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-28 | 2019-06-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-04-28 | 2019-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-28 | 2019-06-06 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-04-27 | 2019-06-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-27 | 2019-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-27 | 2019-06-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-04-27 | 2019-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-27 | 2019-06-03 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-04-21 | 2018-06-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-21 | 2018-06-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-21 | 2018-06-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-21 | 2018-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-21 | 2018-06-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-21 | 2018-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-21 | 2018-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-22 | 2018-05-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-22 | 2018-05-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-22 | 2018-05-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-22 | 2018-05-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | 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 | 2018-04-22 | 2018-05-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-22 | 2018-05-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-22 | 2018-05-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-22 | 2018-05-16 | N |
| Keep all essential equipment working safely. | Health | 2018-04-22 | 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 | 2018-04-22 | 2018-05-16 | N |
