A list of the most recent deficiencies for Sierra 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? |
|---|---|---|---|---|
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-14 | 2023-12-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-14 | 2023-12-21 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-10-24 | 2023-12-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-14 | 2023-12-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-24 | 2023-11-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-24 | 2023-11-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-24 | 2023-11-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-10-24 | 2023-11-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-24 | 2023-11-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-24 | 2023-11-17 | 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 | 2023-10-24 | 2023-11-17 | N |
| Keep all essential equipment working safely. | Health | 2023-10-24 | 2023-11-17 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-10-24 | 2023-11-17 | 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 | 2023-10-24 | 2023-11-17 | Y |
| 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 | 2023-10-24 | 2023-11-17 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-24 | 2023-11-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-05-06 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2022-10-12 | 2022-10-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-12 | 2022-10-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-12 | 2022-10-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-09-15 | 2022-09-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-15 | 2022-09-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-15 | 2022-09-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-15 | 2022-09-22 | N |
| Provide activities to meet all resident's needs. | Health | 2022-09-15 | 2022-09-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-15 | 2022-09-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-09-15 | 2022-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-15 | 2022-09-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-15 | 2022-09-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-15 | 2022-09-22 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-09-15 | 2022-09-22 | 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 | 2022-09-15 | 2022-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-15 | 2022-09-22 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-02-24 | 2022-03-25 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-02-24 | 2022-03-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-24 | 2022-03-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-01 | 2021-08-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-01 | 2021-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-01 | 2021-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-01 | 2021-08-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-01 | 2021-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-10 | 2021-07-27 | 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 | 2021-06-10 | 2021-07-23 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-07-01 | 2021-07-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-07-01 | 2021-07-20 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-01 | 2021-07-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-10 | 2021-05-06 | N |
