Deficiency Records for Gilroy Healthcare and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Gilroy Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-01 | 2023-12-31 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-05 | 2023-12-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-05 | 2023-12-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2023-12-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-27 | 2023-10-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-09 | 2023-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-05-17 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-01-18 | 2023-02-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-12 | 2022-02-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-01 | 2021-12-31 | Y |
| 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 | 2021-11-16 | 2021-12-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-14 | 2021-10-06 | Y |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-05 | 2021-05-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-05 | 2021-05-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-05 | 2021-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-05 | 2021-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-05 | 2021-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-05 | 2021-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-05 | 2021-05-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-23 | 2021-05-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-23 | 2021-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-23 | 2021-05-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-23 | 2021-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-23 | 2021-05-23 | 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 | 2021-04-23 | 2021-05-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-23 | 2021-05-23 | 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 | 2021-04-23 | 2021-05-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-23 | 2021-05-23 | 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 | 2021-04-23 | 2021-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-05-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-04-23 | 2021-05-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-16 | 2021-05-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-16 | 2021-05-16 | Y |
| 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 | 2021-04-16 | 2021-05-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-14 | 2021-05-13 | Y |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-19 | 2020-01-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-19 | 2020-01-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-11-15 | 2019-12-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-15 | 2019-12-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-15 | 2019-12-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-15 | 2019-12-06 | 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 | 2019-11-15 | 2019-12-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-15 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-15 | 2019-12-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | Not Fixed | N |
