A list of the most recent deficiencies for Santa Paula Post Acute 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-26 | 2023-11-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-12 | 2023-10-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-07 | 2023-03-20 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-04-14 | 2022-04-27 | 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 | 2022-04-14 | 2022-04-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-13 | 2022-03-03 | Y |
| Have policies on smoking. | Health | 2022-01-13 | 2022-03-03 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-21 | 2021-12-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-29 | 2021-05-07 | 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 | 2021-04-29 | 2021-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-29 | 2021-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-29 | 2021-05-07 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-29 | 2021-05-07 | 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 | 2021-04-29 | 2021-05-07 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-04-29 | 2021-05-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-29 | 2021-05-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-04-21 | 2021-05-06 | 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 | 2021-04-21 | 2021-05-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-21 | 2021-05-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-04-21 | 2021-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-21 | 2021-05-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-21 | 2021-05-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-29 | 2021-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-05-04 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-18 | 2019-12-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-18 | 2019-12-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-18 | 2019-12-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-18 | 2019-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-18 | 2019-12-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-18 | 2019-12-04 | 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 | 2019-10-09 | 2019-11-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-10-09 | 2019-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-09 | 2019-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-09 | 2019-11-20 | 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 | 2019-10-09 | 2019-11-20 | 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 | 2019-10-09 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-09 | 2019-11-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-10-09 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-09 | 2019-11-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-09 | 2019-11-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-09 | 2019-11-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Develop a communication plan. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-24 | 2019-02-11 | 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 | 2019-01-24 | 2019-02-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-24 | 2019-02-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-18 | 2018-11-18 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-10-18 | 2018-11-18 | 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 | 2018-10-18 | 2018-11-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-18 | 2018-11-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-18 | 2018-11-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-10-18 | 2018-11-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-18 | 2018-11-18 | 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 | 2018-10-18 | 2018-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-18 | 2018-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-18 | 2018-11-18 | N |
