Deficiency Records for Rady Children's Convalescent Hospital D/p Snf
Updated as of February 01, 2023
This is not the most recent data for Rady Children's Convalescent Hospital D/p Snf. For the most recent information, click here.
A list of the most recent deficiencies for Rady Children's Convalescent Hospital D/p Snf. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-06 | 2022-10-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-06 | 2022-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-10 | 2022-10-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-10 | 2022-10-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-10 | 2022-10-25 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-10 | 2022-10-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-09 | 2019-11-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-09-06 | 2019-09-30 | N |
| Develop a communication plan. | Fire Safety | 2018-11-20 | 2018-12-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-20 | 2018-12-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-20 | 2018-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-20 | 2018-12-06 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-11-20 | 2018-12-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-20 | 2018-12-06 | 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 | 2018-09-19 | 2018-10-08 | N |
