A list of the most recent deficiencies for Ukiah 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? |
|---|---|---|---|---|
| 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 | 2023-09-11 | 2023-12-01 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-11 | 2023-12-01 | Y |
| 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 | 2023-09-11 | 2023-12-01 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-11 | 2023-12-01 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-09-11 | 2023-12-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-11 | 2023-12-01 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-11 | 2023-12-01 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-04-04 | 2023-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-20 | 2023-05-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-05-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-20 | 2023-05-19 | 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 | 2023-03-20 | 2023-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-20 | 2023-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-20 | 2023-04-19 | N |
| Respond appropriately to all alleged violations. | Health | 2023-03-20 | 2023-04-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-20 | 2023-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-20 | 2023-04-19 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-20 | 2023-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-20 | 2023-04-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-20 | 2023-04-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-20 | 2023-04-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-20 | 2023-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-20 | 2023-04-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-20 | 2023-04-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-20 | 2023-04-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-05 | 2019-10-21 | N |
| Provide appropriate foot care. | Health | 2019-08-05 | 2019-10-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-05 | 2019-10-21 | 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 | 2019-08-05 | 2019-10-21 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-08-05 | 2019-10-21 | 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 | 2019-08-05 | 2019-10-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-08-05 | 2019-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-05 | 2019-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-05 | 2019-10-21 | N |
| Keep all essential equipment working safely. | Health | 2019-08-05 | 2019-10-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-16 | 2019-10-09 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-16 | 2019-10-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-16 | 2019-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-16 | 2019-10-09 | 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 | 2018-09-28 | 2018-12-27 | 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 | 2018-09-28 | 2018-12-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-09-28 | 2018-12-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-28 | 2018-12-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-28 | 2018-12-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-15 | 2018-10-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-15 | 2018-10-30 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2018-10-15 | 2018-10-30 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-10-15 | 2018-10-30 | N |
