A list of the most recent deficiencies for Shasta View Estates. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-06 | 2023-11-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-06 | 2023-11-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-15 | 2023-09-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-15 | 2023-06-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-21 | 2022-09-20 | 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 | 2022-07-21 | 2022-09-20 | 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 | 2022-07-21 | 2022-09-20 | 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 | 2022-07-21 | 2022-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-21 | 2022-09-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-07-21 | 2022-09-20 | N |
| Keep all essential equipment working safely. | Health | 2022-07-21 | 2022-09-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-21 | 2022-09-20 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-07-25 | 2022-08-16 | 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 | 2022-07-25 | 2022-08-16 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-07-25 | 2022-08-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-25 | 2022-08-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-25 | 2022-08-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-25 | 2022-08-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-29 | 2022-06-03 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-29 | 2022-06-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-24 | 2022-04-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-24 | 2022-04-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-01 | 2022-04-19 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-01 | 2022-04-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-28 | 2022-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-11 | 2021-06-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-11 | 2021-06-24 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-08 | 2019-09-03 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-08 | 2019-09-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-08-08 | 2019-09-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-08 | 2019-09-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-08 | 2019-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-08 | 2019-09-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-08 | 2019-09-03 | 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 | 2019-06-28 | 2019-08-19 | 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 | 2019-06-28 | 2019-08-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-28 | 2019-08-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-28 | 2019-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-28 | 2019-08-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-28 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-08-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-08-10 | 2018-09-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-08-10 | 2018-09-26 | 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 | 2018-08-10 | 2018-09-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-10 | 2018-09-26 | 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 | 2018-08-10 | 2018-09-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-08-10 | 2018-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-10 | 2018-09-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-08-10 | 2018-09-26 | N |
| Use approved construction type or materials. | Fire Safety | 2018-08-15 | 2018-09-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-08-15 | 2018-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-15 | 2018-09-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-15 | 2018-09-04 | N |
