A list of the most recent deficiencies for Sacramento 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? |
|---|---|---|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-01-16 | 2024-02-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-02 | 2023-08-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-02 | 2023-08-24 | Y |
| Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2023-07-10 | 2023-07-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-15 | 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 | 2023-05-19 | 2023-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-19 | 2023-06-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-05-19 | 2023-06-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-19 | 2023-06-15 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-05-19 | 2023-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-15 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-22 | 2023-06-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-22 | 2023-06-02 | 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 | 2022-11-18 | 2022-12-06 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-11-22 | 2022-12-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-08 | 2022-06-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-27 | 2021-09-03 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-03-26 | 2019-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-25 | 2019-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-25 | 2019-02-27 | N |
| Provide activities to meet all resident's needs. | Health | 2019-01-25 | 2019-02-27 | 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 | 2019-01-25 | 2019-02-27 | N |
| Dispose of garbage and refuse properly. | Health | 2019-01-25 | 2019-02-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-25 | 2019-02-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-08 | 2018-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-08 | 2018-02-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-08 | 2018-02-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-08 | 2018-02-15 | 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 | 2017-12-08 | 2018-02-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-08 | 2018-02-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-12-15 | 2018-01-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-12-15 | 2018-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-15 | 2018-01-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-15 | 2018-01-08 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2017-12-15 | 2018-01-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-12-15 | 2018-01-08 | N |
