A list of the most recent deficiencies for Yucaipa Hills Post Acute. 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 | 2023-09-13 | 2023-10-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-08 | 2023-08-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-13 | 2023-08-10 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-07-13 | 2023-08-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-21 | 2023-07-07 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-24 | 2023-03-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-24 | 2023-03-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-02-24 | 2023-03-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-02-24 | 2023-03-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-15 | 2023-03-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-15 | 2023-02-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-18 | 2023-01-30 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-01-19 | 2023-01-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-01 | 2022-06-15 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-03 | 2021-08-23 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-08-04 | 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 | 2021-07-01 | 2021-08-04 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-07-01 | 2021-08-04 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2021-07-01 | 2021-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-01 | 2021-08-04 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-08-04 | N |
| Keep all essential equipment working safely. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-07-01 | 2021-08-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-07-01 | 2021-08-04 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-07-01 | 2021-08-04 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-01 | 2021-07-09 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-06 | 2019-05-08 | 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 | 2019-03-06 | 2019-05-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-06 | 2019-05-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-11 | 2019-02-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-11 | 2019-02-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-11 | 2019-02-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-11 | 2019-02-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-11 | 2019-02-06 | 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 | 2019-01-11 | 2019-02-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-01-11 | 2019-02-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-01-11 | 2019-02-06 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-01-11 | 2019-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-11 | 2019-02-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-01-11 | 2019-02-06 | N |
