Deficiency Records for San Pablo Healthcare and Wellness Center
Updated as of April 01, 2024
A list of the most recent deficiencies for San Pablo Healthcare and Wellness 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2024-02-13 | 2024-02-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | 2023-08-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-07 | 2023-03-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-04 | 2021-08-09 | 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 | 2021-06-04 | 2021-08-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-06-04 | 2021-08-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-04 | 2021-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-04 | 2021-08-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-04 | 2021-08-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-04 | 2021-08-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-04 | 2021-08-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-06-04 | 2021-08-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-08 | 2021-08-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-04 | 2021-06-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-18 | 2019-08-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-18 | 2019-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-18 | 2019-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-18 | 2019-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-18 | 2019-08-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-18 | 2019-08-13 | 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 | 2019-05-09 | 2019-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-09 | 2019-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-06-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-09 | 2019-06-03 | 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 | 2018-06-08 | 2018-06-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-08 | 2018-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-08 | 2018-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-08 | 2018-06-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-08 | 2018-06-22 | 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 | 2018-04-20 | 2018-05-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-20 | 2018-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-20 | 2018-05-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-20 | 2018-05-08 | N |
