Deficiency Records for Santa Clarita Post-Acute Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Santa Clarita Post-Acute 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-09 | 2024-03-05 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-09 | 2024-03-05 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-09 | 2024-03-05 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-09 | 2024-03-05 | 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 | 2024-02-09 | 2024-03-05 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-09 | 2024-03-05 | N |
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 | 2024-02-09 | 2024-03-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-05 | 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 | 2024-02-09 | 2024-03-05 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-09 | 2024-03-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-09 | 2024-03-05 | 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 | 2024-02-09 | 2024-03-05 | 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 | 2024-02-09 | 2024-03-05 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-09 | 2024-03-05 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-09 | 2024-03-05 | N |
Post nurse staffing information every day. | Health | 2024-02-09 | 2024-03-05 | 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 | 2024-02-09 | 2024-03-05 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-09 | 2024-03-05 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-09 | 2024-03-05 | N |
Keep all essential equipment working safely. | Health | 2024-02-09 | 2024-03-05 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-02-09 | 2024-03-05 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-02-09 | 2024-03-05 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-14 | 2024-03-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-14 | 2024-03-05 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-14 | 2024-03-05 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2024-02-14 | 2024-03-05 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-14 | 2024-03-05 | N |
Provide and implement an infection prevention and control program. | Health | 2024-02-01 | 2024-02-16 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-25 | 2023-10-09 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-09-25 | 2023-10-09 | N |
Provide and implement an infection prevention and control program. | Health | 2023-09-25 | 2023-10-09 | 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 | 2023-02-03 | 2023-03-30 | 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 | 2023-02-03 | 2023-03-30 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-03 | 2023-03-30 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-03 | 2023-02-27 | N |
Keep residents' personal and medical records private and confidential. | Health | 2023-02-03 | 2023-02-27 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-03 | 2023-02-27 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-03 | 2023-02-27 | 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 | 2023-02-03 | 2023-02-27 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-02-03 | 2023-02-27 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-03 | 2023-02-27 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-03 | 2023-02-27 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-03 | 2023-02-27 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-03 | 2023-02-27 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-03 | 2023-02-27 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-02-03 | 2023-02-27 | 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 | 2023-02-03 | 2023-02-27 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-02-27 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-03 | 2023-02-27 | N |
List the names and contact information of those in the facility. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Provide emergency officials' contact information. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Implement emergency and standby power systems. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-02-08 | 2023-02-27 | 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 | 2023-02-08 | 2023-02-27 | 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 | 2023-02-08 | 2023-02-27 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2023-02-08 | 2023-02-27 | N |
Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-11-14 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-08-17 | 2022-09-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-01-18 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-12 | 2021-10-22 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-09-13 | 2021-09-13 | 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 | 2019-08-06 | 2019-09-05 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-08-06 | 2019-09-05 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-08-06 | 2019-09-05 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-08-06 | 2019-09-05 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-06 | 2019-09-05 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-06 | 2019-09-05 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-06 | 2019-09-05 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-06 | 2019-09-05 | N |
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 | 2019-08-06 | 2019-09-05 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-06 | 2019-09-05 | 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 | 2019-08-06 | 2019-09-05 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-06 | 2019-09-05 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-08-06 | 2019-09-05 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-08-06 | 2019-09-05 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-06 | 2019-09-05 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-06 | 2019-09-05 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Install proper backup exit lighting. | Fire Safety | 2019-08-03 | 2019-09-03 | 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 | 2019-08-03 | 2019-09-03 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-03 | 2019-09-03 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-06 | Not Fixed | N |