A list of the most recent deficiencies for Topanga Terrace. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-05 | 2023-10-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-05 | 2023-10-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-05 | 2023-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-05 | 2023-10-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-05 | 2023-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-05 | 2023-10-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-05 | 2023-10-30 | 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 | 2023-10-05 | 2023-10-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-05 | 2023-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-10-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-10-05 | 2023-10-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-05 | 2023-10-30 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-10-04 | 2023-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-31 | 2023-08-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-27 | 2023-01-07 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-02 | 2022-10-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-01 | 2022-08-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-10 | 2022-02-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-10 | 2022-02-24 | 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 | 2021-11-09 | 2021-11-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-09 | 2021-11-18 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-10-19 | 2021-10-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-26 | 2021-10-05 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-26 | 2021-10-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-09-26 | 2021-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-08 | 2021-04-30 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-04-08 | 2021-04-30 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-04-08 | 2021-04-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-08 | 2021-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-08 | 2021-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-08 | 2021-04-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-08 | 2021-04-30 | 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 | 2021-04-08 | 2021-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-08 | 2021-04-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-08 | 2021-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-08 | 2021-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-04-06 | 2021-04-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-02 | 2019-05-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-02 | 2019-05-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-02 | 2019-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-02 | 2019-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-02 | 2019-05-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-02 | 2019-05-24 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-02 | 2019-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-22 | 2019-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-22 | 2019-05-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-22 | 2019-05-13 | 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 | 2019-04-22 | 2019-05-13 | 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 | 2019-04-22 | 2019-05-13 | 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 | 2019-04-22 | 2019-05-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-04-22 | 2019-05-13 | N |
