A list of the most recent deficiencies for Santa Cruz Post Acute. 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? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-01-12 | 2024-02-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-12 | 2024-02-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-12 | 2024-02-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-11-30 | 2023-12-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-30 | 2023-12-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2023-12-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-30 | 2023-12-28 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-11-30 | 2023-12-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-30 | 2023-12-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-13 | 2023-10-28 | Y |
| 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 | 2023-07-18 | 2023-08-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-17 | 2023-07-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-17 | 2023-07-05 | 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 | 2023-05-12 | 2023-06-12 | 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 | 2023-05-12 | 2023-06-12 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-12 | 2023-06-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-12 | 2023-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide appropriate foot care. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-12 | 2023-06-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-12 | 2023-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-06-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-12 | 2023-06-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-09 | 2023-06-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-12 | 2023-06-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-12 | 2023-06-07 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-05-12 | 2023-06-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-12 | 2023-06-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-12 | 2023-06-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-12 | 2023-06-07 | 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 | 2023-03-24 | 2023-04-23 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-02 | 2023-04-01 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-12-20 | 2023-01-13 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-21 | 2022-12-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2022-12-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-15 | 2021-12-09 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-04-07 | 2021-05-06 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-12 | 2020-03-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-24 | 2020-02-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-24 | 2020-02-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-24 | 2020-02-20 | 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 | 2020-01-24 | 2020-02-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-24 | 2020-02-20 | 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 | 2020-01-24 | 2020-02-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-24 | 2020-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-24 | 2020-02-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2020-01-24 | 2020-02-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-21 | 2019-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-21 | 2019-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-21 | 2019-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-21 | 2019-04-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-03-21 | 2019-04-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-21 | 2019-04-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-02-15 | 2019-03-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-02-15 | 2019-03-21 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-02-15 | 2019-03-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-15 | 2019-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-15 | 2019-03-21 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-15 | 2019-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-03-21 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-15 | 2019-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-15 | 2019-03-21 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-02-15 | 2019-03-21 | N |
| 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 | 2019-02-15 | 2019-03-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-15 | 2019-03-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-15 | 2019-03-21 | 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 | 2019-02-15 | 2019-03-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-02-15 | 2019-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-15 | 2019-03-21 | N |
| Dispose of garbage and refuse properly. | Health | 2019-02-15 | 2019-03-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-15 | 2019-03-21 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-02-15 | 2019-03-21 | N |
