Deficiency Records for Santa Clarita Post-Acute Care Center
Updated as of March 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 | 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 |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Establish methods for sharing information. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-08-18 | 2018-09-10 | 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 | 2018-08-18 | 2018-09-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-18 | 2018-09-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-18 | 2018-09-10 | 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 | 2018-08-19 | 2018-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-19 | 2018-08-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-19 | 2018-08-22 | 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 | 2018-08-19 | 2018-08-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-19 | 2018-08-22 | 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 | 2018-08-19 | 2018-08-22 | 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 | 2018-08-19 | 2018-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-19 | 2018-08-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-19 | 2018-08-22 | 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 |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-08-19 | Not Fixed | N |
