Deficiency Records for The Pillars of North County Health and Rehab Center
Updated as of February 01, 2020
This is not the most recent data for The Pillars of North County Health and Rehab Center. For the most recent information, click here.
A list of the most recent deficiencies for The Pillars of North County Health and Rehab Center. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-08 | 2019-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-08 | 2019-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-08 | 2019-04-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-08 | 2019-04-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-08 | 2019-04-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-08 | 2019-04-16 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-03-08 | 2019-04-16 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-03-08 | 2019-04-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-03-08 | 2019-04-16 | 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 | 2019-03-08 | 2019-04-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-08 | 2019-04-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-08 | 2019-04-16 | N |
| Respond appropriately to all alleged violations. | Health | 2019-03-08 | 2019-04-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-08 | 2019-04-16 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-03-08 | 2019-04-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-03-08 | 2019-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-08 | 2019-04-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-08 | 2019-04-16 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2019-03-08 | 2019-04-16 | 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 ne | Health | 2019-03-08 | 2019-04-16 | 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 | 2019-03-08 | 2019-04-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-08 | 2019-04-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-08 | 2019-04-16 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-10-22 | 2018-11-20 | 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 | 2018-10-22 | 2018-11-20 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-02-09 | 2018-03-22 | N |
| Be properly staffed | Fire Safety | 2018-02-09 | 2018-03-22 | 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 | 2018-02-09 | 2018-03-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-09 | 2018-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-09 | 2018-03-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-02-09 | 2018-03-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-02-09 | 2018-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-09 | 2018-03-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-09 | 2018-03-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-09 | 2018-03-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-09 | 2018-03-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-09 | 2018-03-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-05-23 | 2017-07-17 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-06 | 2017-02-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-01-06 | 2017-02-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-01-06 | 2017-02-20 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-01-06 | 2017-02-20 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-06 | 2017-02-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-01-06 | 2017-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-01-06 | 2017-02-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-06 | 2017-02-20 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-06 | 2017-02-20 | N |
