A list of the most recent deficiencies for The Tamalpais. 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-08 | 2024-01-08 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-12-08 | 2024-01-08 | 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 | 2023-12-08 | 2024-01-08 | 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 | 2023-12-08 | 2024-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-08 | 2024-01-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-12-12 | 2024-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-12 | 2024-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2024-01-03 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-12 | 2019-12-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-12 | 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 | 2019-10-25 | 2019-12-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-08 | 2019-02-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-08 | 2019-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-08 | 2019-02-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-10-26 | 2018-12-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-26 | 2018-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-26 | 2018-12-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-26 | 2018-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-26 | 2018-12-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-26 | 2018-12-14 | N |
