Deficiency Records for Gilroy Healthcare and Rehabilitation Center
Updated as of July 01, 2022
This is not the most recent data for Gilroy Healthcare and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-03-10 | 2021-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-01-26 | 2021-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-29 | 2021-02-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-08-27 | 2020-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-05-22 | 2020-06-08 | 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 | 2020-01-30 | 2020-02-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-30 | 2020-02-29 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-14 | 2020-02-13 | 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 |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-20 | 2019-09-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-08 | 2019-08-20 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-08 | 2019-02-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-12 | 2018-11-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-12 | 2018-11-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-12 | 2018-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-12 | 2018-11-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-12 | 2018-11-11 | 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 | 2018-10-12 | 2018-11-11 | 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 | 2018-10-12 | 2018-11-11 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-10-12 | 2018-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-12 | 2018-11-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-15 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-06 | Not Fixed | N |
