Deficiency Records for The Terraces at San Joaquin Gardens Village
Updated as of April 01, 2024
A list of the most recent deficiencies for The Terraces at San Joaquin Gardens Village. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-12 | 2024-03-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-12 | 2024-03-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-12 | 2024-03-08 | 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 | 2024-02-12 | 2024-03-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-12 | 2024-03-08 | 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 | 2024-02-12 | 2024-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-12 | 2024-03-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-12 | 2024-03-08 | 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 | 2024-02-13 | 2024-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-13 | 2024-02-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-19 | 2023-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-10 | 2022-06-09 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-05-10 | 2022-06-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-10 | 2022-06-09 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-05-10 | 2022-06-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-10 | 2022-06-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-05-10 | 2022-06-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-10 | 2022-06-09 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-10 | 2022-06-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-05-09 | 2022-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-09 | 2022-05-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-11 | 2020-03-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-11 | 2020-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-11 | 2020-03-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-11 | 2020-03-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-06 | 2020-03-05 | 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 | 2020-02-06 | 2020-03-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-06 | 2020-03-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-06 | 2020-03-05 | 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 | 2020-02-06 | 2020-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-05 | N |
