A list of the most recent deficiencies for Pacific Coast Manor. 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 | 2023-12-13 | 2024-01-08 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-09-11 | 2023-09-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-16 | 2023-07-14 | 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 | 2023-06-16 | 2023-07-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-16 | 2023-07-13 | 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 | 2023-06-16 | 2023-07-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-16 | 2023-07-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-16 | 2023-07-03 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-16 | 2023-07-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-20 | 2023-07-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-20 | 2023-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-20 | 2023-07-03 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-20 | 2023-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-20 | 2023-07-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-06-30 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-06-16 | 2023-06-30 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-06-16 | 2023-06-30 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-16 | 2023-06-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-16 | 2023-06-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-06-16 | 2023-06-29 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-05-31 | 2023-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-07 | 2023-03-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-27 | 2023-03-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-20 | 2021-08-29 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-16 | 2020-02-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-16 | 2020-02-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-16 | 2020-02-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-01-16 | 2020-02-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-16 | 2020-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-16 | 2020-02-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-05 | 2019-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-12-05 | 2019-12-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-05 | 2019-12-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-05 | 2019-12-31 | 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 | 2019-12-05 | 2019-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-05 | 2019-12-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-24 | 2019-03-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-24 | 2019-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-24 | 2019-03-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-24 | 2019-03-07 | 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 | 2018-11-08 | 2018-12-08 | 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 | 2018-11-08 | 2018-12-08 | 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 | 2018-11-08 | 2018-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-08 | 2018-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-08 | 2018-12-08 | N |
