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Deficiency Records for Santa Maria Post Acute
View the most recent health deficiencies and inspection results for Santa Maria Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Santa Maria Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-19 | 2025-03-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-03-11 | 2025-03-12 | 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 | 2024-11-21 | 2025-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-11-21 | 2025-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-06 | 2025-01-07 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-12-03 | 2024-12-21 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-12-03 | 2024-12-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-11-21 | 2024-12-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-21 | 2024-12-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-11-21 | 2024-12-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-11-21 | 2024-12-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-21 | 2024-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-21 | 2024-11-22 | 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 | 2024-11-21 | 2024-11-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-21 | 2024-11-22 | 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 | 2024-11-21 | 2024-11-22 | 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 | 2024-11-21 | 2024-11-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-21 | 2024-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-21 | 2024-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-21 | 2024-11-22 | 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 | 2024-11-21 | 2024-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-21 | 2024-11-22 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-11-21 | 2024-11-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-11-21 | 2024-11-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-22 | 2024-10-17 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-04-19 | 2024-05-02 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-10 | 2024-04-22 | 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 | 2024-02-13 | 2024-02-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-02-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-06-08 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-18 | 2022-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-18 | 2022-09-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-18 | 2022-09-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-08-18 | 2022-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-18 | 2022-09-12 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-08-18 | 2022-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-18 | 2022-09-12 | 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 | 2022-08-18 | 2022-09-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-18 | 2022-09-12 | 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 | 2022-08-18 | 2022-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-18 | 2022-09-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-18 | 2022-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-23 | 2019-06-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-23 | 2019-06-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-23 | 2019-06-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-23 | 2019-06-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-23 | 2019-06-20 | 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 | 2019-05-23 | 2019-06-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-23 | 2019-06-20 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-05-23 | 2019-06-20 | 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 | 2019-05-23 | 2019-06-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-05-23 | 2019-06-20 | 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 | 2019-05-23 | 2019-06-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-23 | 2019-06-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-23 | 2019-06-20 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-05-23 | 2019-06-18 | N |
| Respond appropriately to all alleged violations. | Health | 2026-04-14 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-14 | Not Fixed | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-01 | Not Fixed | Y |