Deficiency Records for San Luis Care Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for San Luis 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?
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-19 2024-01-15 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-10-04 2023-10-14 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-01-12 2023-01-31 Y
Provide immediate access to any resident. Health 2022-08-10 2022-08-16 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-29 2021-07-02 Y
Provide and implement an infection prevention and control program. Health 2021-06-11 2021-06-15 Y
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2019-06-24 2019-07-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-06-24 2019-07-22 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-06-24 2019-07-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-05-28 2019-07-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-05-28 2019-07-15 N
Keep residents' personal and medical records private and confidential. Health 2019-05-28 2019-07-15 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-05-28 2019-07-15 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-05-28 2019-07-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-05-28 2019-07-15 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-05-28 2019-07-15 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 2019-05-28 2019-07-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-05-28 2019-07-15 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-05-28 2019-07-15 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2019-05-28 2019-07-15 N
Provide and implement an infection prevention and control program. Health 2019-05-28 2019-07-15 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2018-06-26 2018-07-10 N
Use approved construction type or materials. Fire Safety 2018-06-26 2018-07-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2018-06-26 2018-07-10 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 2017-05-04 2017-05-25 N
Have proper medical gas storage and administration areas. Fire Safety 2017-05-04 2017-05-25 N