Deficiency Records for Dept of State Hospitals - Napa D/p Snf
Updated as of April 01, 2024
A list of the most recent deficiencies for Dept of State Hospitals - Napa 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? |
|---|---|---|---|---|
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2023-12-18 | 2024-01-16 | Y |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2023-12-18 | 2024-01-16 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-02 | 2023-09-09 | 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 | 2023-08-02 | 2023-09-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-02 | 2023-09-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-27 | 2023-08-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-07-27 | 2023-08-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-09-28 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-05 | 2022-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-05 | 2022-08-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-05 | 2022-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-08-26 | N |
| Keep all essential equipment working safely. | Health | 2022-08-05 | 2022-08-26 | 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 | 2021-07-12 | 2021-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-12 | 2021-08-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
