CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Santa Clara Post Acute
View the most recent health deficiencies and inspection results for Santa Clara Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Santa Clara Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Implement a program that monitors antibiotic use. | Health | 2025-09-12 | 2025-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-09-12 | 2025-09-30 | 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 | 2025-09-12 | 2025-09-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-09-12 | 2025-09-30 | 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 | 2025-09-12 | 2025-09-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-09-12 | 2025-09-30 | 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 | 2025-09-12 | 2025-09-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-09-12 | 2025-09-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-12 | 2025-09-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-09-12 | 2025-09-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-09-12 | 2025-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-09-12 | 2025-09-30 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-09-12 | 2025-09-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-09-12 | 2025-09-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-09-12 | 2025-09-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-09-12 | 2025-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-09-12 | 2025-09-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-09-12 | 2025-09-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-09-12 | 2025-09-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-09-12 | 2025-09-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-09-12 | 2025-09-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-07-01 | 2025-07-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-25 | 2025-03-06 | Y |
| 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 | 2024-06-18 | 2024-06-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-10 | 2024-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-10 | 2024-05-30 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-05-10 | 2024-05-30 | 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 | 2024-05-10 | 2024-05-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-05-10 | 2024-05-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-10 | 2024-05-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-10 | 2024-05-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-10 | 2024-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-10 | 2024-05-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-10 | 2024-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Use approved construction type or materials. | Fire Safety | 2024-05-10 | 2024-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-02 | 2024-05-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-24 | 2024-05-15 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-12-11 | 2024-01-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-11 | 2024-01-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-30 | 2023-12-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-09 | 2023-12-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-18 | 2023-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2023-12-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-20 | 2023-12-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-26 | 2023-11-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-11 | 2023-09-30 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-06 | 2023-07-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-03 | 2022-06-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-03 | 2022-06-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-03 | 2022-06-16 | 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 | 2022-05-03 | 2022-06-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-03 | 2022-06-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-03 | 2022-06-16 | 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 | 2022-05-03 | 2022-06-16 | 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 | 2022-05-03 | 2022-06-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-03 | 2022-06-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-03 | 2022-06-16 | 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 | 2022-05-03 | 2022-06-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-03 | 2022-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-03 | 2022-06-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-05-03 | 2022-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-03 | 2022-06-16 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-03 | 2022-06-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-05-03 | 2022-06-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-03 | 2022-06-16 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-05-03 | 2022-05-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-05-03 | 2022-05-13 | N |