A list of the most recent deficiencies for Niles Canyon 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-04-15 | 2022-06-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-15 | 2022-06-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-15 | 2022-06-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-15 | 2022-06-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-15 | 2022-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-15 | 2022-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-06-22 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-15 | 2022-06-22 | N |
| Use approved construction type or materials. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-20 | 2022-05-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-19 | 2021-08-31 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-09-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-12 | 2019-09-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-12 | 2019-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-24 | 2019-08-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-24 | 2019-08-24 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-07-24 | 2019-08-24 | 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 | 2019-07-24 | 2019-08-24 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-24 | 2019-08-24 | 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 | 2019-07-24 | 2019-08-24 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-07-24 | 2019-08-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-24 | 2019-08-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-24 | 2019-08-24 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-09-07 | 2018-09-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-28 | 2018-07-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-28 | 2018-07-27 | 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 | 2018-06-28 | 2018-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-28 | 2018-07-27 | 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 | 2018-06-28 | 2018-07-27 | N |
