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Deficiency Records for Glenoaks Senior Living Campus
View the most recent health deficiencies and inspection results for Glenoaks Senior Living Campus. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Glenoaks Senior Living Campus. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-12 | 2025-10-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-12 | 2025-10-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-12 | 2025-10-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-12 | 2025-10-20 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2025-09-12 | 2025-10-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-04-24 | 2025-06-20 | 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 | 2025-04-24 | 2025-05-23 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2025-04-24 | 2025-05-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-24 | 2025-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-24 | 2025-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-05-23 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-24 | 2025-05-23 | 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 | 2025-04-24 | 2025-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-05-23 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-04-24 | 2025-05-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-04-24 | 2025-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-05-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-04-24 | 2025-05-23 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-04-24 | 2025-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-06 | 2024-04-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-06 | 2024-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-06 | 2024-04-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-06 | 2024-04-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-06 | 2024-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-06 | 2024-03-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-06 | 2024-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-06 | 2024-03-27 | 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 | 2024-03-06 | 2024-03-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-06 | 2024-03-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-06 | 2024-03-25 | 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 | 2024-03-06 | 2024-03-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-06 | 2024-03-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-06 | 2024-03-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-06 | 2024-03-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-06 | 2024-03-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-06 | 2024-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-06 | 2024-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-10-19 | 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 | 2023-09-21 | 2023-10-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-09-21 | 2023-10-12 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-09-21 | 2023-10-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-21 | 2023-10-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-10-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-09-21 | 2023-10-12 | 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 | 2023-09-21 | 2023-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-10-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-10-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-21 | 2023-10-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-10-12 | Y |
| 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 | 2023-09-21 | 2023-10-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-21 | 2023-10-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-23 | 2023-09-26 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-23 | 2023-09-26 | 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 | 2023-08-23 | 2023-09-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-08-23 | 2023-09-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-23 | 2023-09-26 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-23 | 2023-09-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-23 | 2023-09-26 | 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 | 2023-08-23 | 2023-09-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-23 | 2023-09-26 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-23 | 2023-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-23 | 2023-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-23 | 2023-09-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-23 | 2023-09-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-23 | 2023-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-09-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-23 | 2023-09-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-24 | 2023-05-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-24 | 2023-05-17 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-03-06 | Not Fixed | N |