Deficiency Records for Pacific Gardens Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Pacific Gardens Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-13 | 2023-12-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-30 | 2023-12-28 | 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 | 2023-11-30 | 2023-12-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-30 | 2023-12-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-30 | 2023-12-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-05-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-27 | 2023-02-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-20 | 2023-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-27 | 2021-08-06 | Y |
| 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 | 2019-03-07 | 2019-04-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-07 | 2019-04-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-07 | 2019-04-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-07 | 2019-04-04 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-03-07 | 2019-04-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-15 | 2019-03-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-15 | 2019-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-15 | 2019-03-14 | 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 | 2019-02-15 | 2019-03-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-15 | 2019-03-14 | 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 | 2019-02-15 | 2019-03-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-02-15 | 2019-03-14 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-02-15 | 2019-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-15 | 2019-03-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2017-12-29 | 2018-02-27 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2017-12-29 | 2018-02-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-29 | 2018-02-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-01-18 | 2018-02-05 | 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 | 2018-01-18 | 2018-02-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-01-18 | 2018-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-01-18 | 2018-02-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2018-01-18 | 2018-02-05 | N |
