Deficiency Records for San Joaquin Nursing Center and Rehabilitation Cent
Updated as of September 01, 2018
This is not the most recent data for San Joaquin Nursing Center and Rehabilitation Cent. For the most recent information, click here.
A list of the most recent deficiencies for San Joaquin Nursing Center and Rehabilitation Cent. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-16 | 2018-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-12 | 2018-08-02 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-05-09 | 2018-05-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-04-23 | 2018-05-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-26 | 2018-05-21 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-04-12 | 2018-05-18 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-03-29 | 2018-04-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-03-29 | 2018-04-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-03-29 | 2018-04-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-03-29 | 2018-04-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-03-01 | 2018-04-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-03-01 | 2018-04-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-01 | 2018-04-10 | 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 | 2018-03-01 | 2018-04-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-01 | 2018-04-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-01 | 2018-04-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-03-01 | 2018-04-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-01 | 2018-04-10 | 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 ne | Health | 2018-03-01 | 2018-04-10 | 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 | 2018-03-01 | 2018-04-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-01 | 2018-04-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-01 | 2018-04-10 | N |
| Dispose of garbage and refuse properly. | Health | 2018-03-01 | 2018-04-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-01 | 2018-04-10 | N |
| Keep all essential equipment working safely. | Health | 2018-03-01 | 2018-04-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2017-12-27 | 2018-01-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-04 | 2018-01-03 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2017-12-04 | 2018-01-03 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-10-30 | 2017-11-22 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-10-26 | 2017-11-22 | 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 | 2017-10-26 | 2017-11-22 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-16 | 2017-09-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-27 | 2017-07-18 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2017-06-27 | 2017-07-18 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-06-27 | 2017-07-18 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-23 | 2017-07-05 | Y |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-02-24 | 2017-04-06 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-02-24 | 2017-04-06 | N |
| Maintain comfortable and safe temperature levels. | Health | 2017-02-24 | 2017-04-06 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2017-02-24 | 2017-04-06 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-02-24 | 2017-04-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-02-24 | 2017-04-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-02-24 | 2017-04-06 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-24 | 2017-04-06 | N |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2017-02-24 | 2017-04-06 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-02-24 | 2017-04-06 | N |
| Hire a qualified dietician. | Health | 2017-02-24 | 2017-04-06 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2017-02-24 | 2017-04-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-24 | 2017-04-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-24 | 2017-04-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-24 | 2017-04-06 | N |
| Keep clinical records for an appropriate amount of time. | Health | 2017-01-24 | 2017-02-28 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-12-05 | 2016-12-29 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-08-29 | 2016-09-19 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-08-31 | 2016-09-13 | Y |
| Provide proper discharge planning and communication, of the resident's health status and summary of the resident's nursing home stay. | Health | 2016-06-30 | 2016-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-30 | 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 | 2016-04-27 | 2016-05-10 | Y |
| Allow residents to have visitors. | Health | 2016-02-19 | 2016-05-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-02-19 | 2016-05-09 | N |
| Give notice to the resident before a room or roommate change. | Health | 2016-02-19 | 2016-05-09 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-19 | 2016-05-09 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-02-19 | 2016-04-07 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-02-19 | 2016-04-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-19 | 2016-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-19 | 2016-04-07 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2016-02-19 | 2016-04-07 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2016-02-19 | 2016-04-07 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-19 | 2016-04-07 | N |
| Hire a qualified dietician. | Health | 2016-02-19 | 2016-04-07 | N |
| Hire sufficient dietary support personnel. | Health | 2016-02-19 | 2016-04-07 | N |
| Make sure menus meet the resident's nutritional needs and that there is a prepared menu by which nutritious meals have been planned for the resident and followed. | Health | 2016-02-19 | 2016-04-07 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-02-19 | 2016-04-07 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2016-02-19 | 2016-04-07 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2016-02-19 | 2016-04-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-02-19 | 2016-04-07 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-19 | 2016-04-07 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-19 | 2016-04-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-19 | 2016-04-07 | N |
| Keep all essential equipment working safely. | Health | 2016-02-19 | 2016-04-07 | N |
| Keep clinical record information safe. | Health | 2016-02-19 | 2016-04-07 | N |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2016-02-24 | 2016-03-29 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2016-02-24 | 2016-03-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-02-24 | 2016-03-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-24 | 2016-03-29 | N |
| No-smoking signs where oxygen is used. | Fire Safety | 2016-02-24 | 2016-03-29 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-02-24 | 2016-03-29 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-01-29 | 2016-02-18 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-01-29 | 2016-02-18 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-01-19 | 2016-02-01 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-12-15 | 2016-01-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2015-12-15 | 2016-01-05 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-15 | 2016-01-05 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2015-10-02 | 2015-10-20 | Y |
