CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Pacific Villa, Inc
View the most recent health deficiencies and inspection results for Pacific Villa, Inc. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pacific Villa, Inc. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Implement a program that monitors antibiotic use. | Health | 2026-02-27 | 2026-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-27 | 2026-03-25 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2026-02-27 | 2026-03-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-02-27 | 2026-03-25 | N |
| 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 | 2026-02-27 | 2026-03-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-02-27 | 2026-03-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2026-02-27 | 2026-03-25 | N |
| Provide activities to meet all resident's needs. | Health | 2026-02-27 | 2026-03-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2026-02-27 | 2026-03-25 | N |
| Respond appropriately to all alleged violations. | Health | 2026-02-27 | 2026-03-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-27 | 2026-03-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-02-27 | 2026-03-25 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-02-27 | 2026-03-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-27 | 2026-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-02-27 | 2026-03-25 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-02-27 | 2026-03-25 | 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 | 2026-02-27 | 2026-03-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-16 | 2026-01-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-16 | 2026-01-08 | Y |
| 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 | 2025-11-19 | 2025-12-11 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-11-19 | 2025-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-12-04 | 2025-12-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-04 | 2025-12-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-04 | 2025-12-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-28 | 2025-06-25 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-28 | 2025-06-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-28 | 2025-06-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-28 | 2025-06-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-16 | 2025-06-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-05-16 | 2025-06-11 | 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 | 2025-05-16 | 2025-06-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-28 | 2025-05-21 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-03-14 | 2025-03-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-19 | 2025-03-12 | Y |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-12-20 | 2025-01-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-12-20 | 2025-01-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-12-20 | 2025-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-20 | 2025-01-30 | 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 | 2024-12-20 | 2025-01-30 | 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 | 2024-12-20 | 2025-01-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-20 | 2025-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-20 | 2025-01-30 | N |
| 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 | 2024-12-20 | 2025-01-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-20 | 2025-01-30 | 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 | 2024-12-20 | 2025-01-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-12-20 | 2025-01-30 | 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 | 2024-12-20 | 2025-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-12-20 | 2025-01-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-20 | 2025-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-12-20 | 2025-01-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-20 | 2025-01-30 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-12-20 | 2025-01-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-12-20 | 2025-01-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-12-20 | 2025-01-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-12-20 | 2025-01-20 | 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 | 2024-12-20 | 2025-01-20 | 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 | 2024-12-20 | 2025-01-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-12-20 | 2025-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-20 | 2025-01-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-12-20 | 2025-01-20 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-12-20 | 2025-01-20 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-10-17 | 2024-11-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-02 | 2024-02-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-02-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-01 | 2024-02-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-05 | 2024-02-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-05 | 2024-02-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-05 | 2024-02-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-05 | 2024-02-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-01-05 | 2024-02-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-05 | 2024-02-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-05 | 2024-02-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2024-01-05 | 2024-02-01 | 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 | 2024-01-05 | 2024-02-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-05 | 2024-02-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-05 | 2024-02-01 | 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 | 2024-01-05 | 2024-02-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-05 | 2024-02-01 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-05 | 2024-02-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-05 | 2024-02-01 | 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 | 2024-01-05 | 2024-02-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-05 | 2024-02-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-01-05 | 2024-02-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-05 | 2024-02-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-05 | 2024-02-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-05 | 2024-02-01 | 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 | 2023-12-11 | 2024-01-17 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-11 | 2024-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-11 | 2024-01-17 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-12-11 | 2024-01-17 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2023-12-11 | 2024-01-17 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-11 | 2024-01-17 | Y |