Deficiency Records for Santa Monica Health Care Center
Updated as of March 01, 2018
This is not the most recent data for Santa Monica Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Santa Monica Health Care Center. 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-01-24 | 2018-02-19 | 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 | 2018-01-24 | 2018-02-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-24 | 2018-02-19 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-01-24 | 2018-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-01-24 | 2018-02-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-24 | 2018-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-24 | 2018-02-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-24 | 2018-02-19 | 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 | 2018-01-26 | 2018-02-19 | 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 | 2018-01-26 | 2018-02-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-26 | 2018-02-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-26 | 2018-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-26 | 2018-02-19 | 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 | 2018-01-26 | 2018-02-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-26 | 2018-02-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-26 | 2018-02-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-26 | 2018-02-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-06-22 | 2017-08-08 | 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 | 2017-01-16 | 2017-02-06 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-01-16 | 2017-02-06 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-01-16 | 2017-02-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-01-16 | 2017-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-16 | 2017-02-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-01-16 | 2017-02-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-16 | 2017-02-06 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-16 | 2017-02-06 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-16 | 2017-02-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-16 | 2017-02-06 | N |
| 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 | 2017-01-16 | 2017-02-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-16 | 2017-02-06 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-01-16 | 2017-02-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-16 | 2017-02-06 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-01-16 | 2017-02-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-16 | 2017-02-06 | N |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2017-01-16 | 2017-02-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-16 | 2017-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-11 | 2016-12-06 | Y |
| Choose a doctor to serve as the medical director to create resident care policies and coordinate medical care in the facility. | Health | 2016-05-12 | 2016-10-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-03 | 2016-08-29 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-08-03 | 2016-08-29 | Y |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-12-31 | 2016-01-27 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-12-31 | 2016-01-27 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-12-31 | 2016-01-27 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2015-12-31 | 2016-01-27 | N |
| Provide housekeeping and maintenance services. | Health | 2016-01-04 | 2016-01-27 | N |
| Maintain comfortable and safe temperature levels. | Health | 2016-01-04 | 2016-01-27 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-01-04 | 2016-01-27 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-01-04 | 2016-01-27 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-01-04 | 2016-01-27 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-01-04 | 2016-01-27 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-01-04 | 2016-01-27 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-01-04 | 2016-01-27 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-01-04 | 2016-01-27 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2016-01-04 | 2016-01-27 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-01-04 | 2016-01-27 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-01-04 | 2016-01-27 | Y |
