Deficiency Records for Downey Post Acute
Updated as of March 01, 2020
This is not the most recent data for Downey Post Acute. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-18 | 2019-04-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-11 | 2019-01-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-11-21 | 2019-01-09 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-21 | 2019-01-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-09-26 | 2018-10-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-21 | 2018-10-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-21 | 2018-10-18 | Y |
| 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 | 2018-10-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-27 | 2018-10-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-09-27 | 2018-10-10 | Y |
| 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 |
| 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 ne | 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 |
| 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 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2018-03-15 | 2018-04-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-03-15 | 2018-04-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-15 | 2018-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-03-15 | 2018-04-12 | Y |
| 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 | 2018-02-09 | 2018-02-27 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-11-17 | 2017-11-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2017-05-13 | 2017-06-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-05-13 | 2017-06-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-05-13 | 2017-06-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-05-13 | 2017-06-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-13 | 2017-06-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-13 | 2017-06-06 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-05-13 | 2017-06-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-13 | 2017-06-06 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-05-13 | 2017-06-06 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-05-13 | 2017-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-13 | 2017-06-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-13 | 2017-06-06 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-13 | 2017-06-06 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2017-05-13 | 2017-06-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-13 | 2017-06-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-13 | 2017-06-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-05-13 | 2017-06-06 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-05-13 | 2017-06-06 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-05-13 | 2017-06-06 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-05-15 | 2017-05-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-08 | 2017-05-25 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-14 | 2017-05-15 | Y |
| 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 | 2017-04-14 | 2017-05-15 | Y |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-14 | 2017-05-15 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-23 | 2017-04-12 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-23 | 2017-04-12 | Y |
