Deficiency Records for Millbrae Care Center
Updated as of October 01, 2018
This is not the most recent data for Millbrae Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Millbrae Care Center. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-05-29 | 2018-07-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-29 | 2018-07-18 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-07-03 | 2017-08-29 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-07-03 | 2017-08-29 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-03 | 2017-08-29 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-03 | 2017-08-29 | N |
| Keep all essential equipment working safely. | Health | 2017-07-03 | 2017-08-29 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-07-03 | 2017-08-29 | 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 | 2017-07-03 | 2017-08-29 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-21 | 2017-08-17 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-03-06 | 2017-05-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-06 | 2017-05-15 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-04-10 | 2017-05-11 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-10 | 2017-05-11 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2016-06-09 | 2016-07-20 | Y |
| Tell the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2016-07-14 | 2016-07-18 | Y |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-06-02 | 2016-07-07 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2016-06-02 | 2016-07-07 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-06-02 | 2016-07-07 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-02 | 2016-07-07 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-02 | 2016-07-07 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-05-27 | 2016-06-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-05-27 | 2016-06-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-05-27 | 2016-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-05-27 | 2016-06-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-05-27 | 2016-06-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-05-27 | 2016-06-23 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-05-27 | 2016-06-23 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-05-27 | 2016-06-23 | N |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-04-05 | 2016-05-18 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-01-06 | 2016-01-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-10-27 | 2015-12-17 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2015-10-27 | 2015-12-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2015-04-14 | 2015-05-22 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2015-04-14 | 2015-05-22 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2015-04-14 | 2015-05-22 | N |
| Provide housekeeping and maintenance services. | Health | 2015-04-14 | 2015-05-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-04-14 | 2015-05-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-04-14 | 2015-05-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-04-14 | 2015-05-22 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2015-04-14 | 2015-05-22 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-04-14 | 2015-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-04-14 | 2015-05-22 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-04-14 | 2015-05-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-04-14 | 2015-05-22 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2015-04-14 | 2015-05-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-04-14 | 2015-05-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-04-14 | 2015-05-22 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2015-04-14 | 2015-05-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-04-14 | 2015-05-22 | N |
| Be licensed under State and local laws. | Health | 2015-04-14 | 2015-05-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-04-14 | 2015-05-22 | N |
| Approved construction type or materials. | Fire Safety | 2015-04-14 | 2015-05-14 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-04-14 | 2015-05-14 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2015-04-14 | 2015-05-14 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-04-14 | 2015-05-14 | N |
