Deficiency Records for Torrey Pines Post Acute and Rehabilitation
Updated as of May 01, 2021
This is not the most recent data for Torrey Pines Post Acute and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Torrey Pines Post Acute and Rehabilitation. 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 and implement an infection prevention and control program. | Health | 2020-04-17 | 2020-05-26 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-05-22 | 2019-07-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-22 | 2019-07-15 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-05-22 | 2019-07-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-22 | 2019-07-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-22 | 2019-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-24 | 2019-07-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-05-24 | 2019-07-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-24 | 2019-07-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-07-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-05-24 | 2019-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-24 | 2019-07-09 | N |
| Provide appropriate foot care. | Health | 2019-05-24 | 2019-07-09 | 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 | 2019-05-24 | 2019-07-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-07-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-24 | 2019-07-09 | N |
| 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 | 2019-05-24 | 2019-07-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-24 | 2019-07-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-24 | 2019-07-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-05-24 | 2019-07-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-07-09 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-05-24 | 2019-07-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-07-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-24 | 2019-07-09 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Develop a communication plan. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-03-20 | 2018-05-07 | 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 | 2018-03-20 | 2018-05-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-03-20 | 2018-05-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-23 | 2018-05-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-03-23 | 2018-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-23 | 2018-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-23 | 2018-05-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-03-23 | 2018-05-07 | 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 | 2018-03-23 | 2018-05-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-23 | 2018-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-23 | 2018-05-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-23 | 2018-05-07 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-14 | 2017-05-26 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-14 | 2017-05-26 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-14 | 2017-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-14 | 2017-05-26 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-04-14 | 2017-05-26 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-14 | 2017-05-26 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-14 | 2017-05-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-14 | 2017-05-26 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-14 | 2017-05-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-04-14 | 2017-05-19 | N |
| Provide housekeeping and maintenance services. | Health | 2017-04-14 | 2017-05-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-04-12 | 2017-05-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-12 | 2017-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-12 | 2017-05-03 | 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 | 2017-04-12 | 2017-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-04-12 | 2017-04-26 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2017-04-12 | 2017-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-04-12 | 2017-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-04-12 | 2017-04-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2017-04-12 | 2017-04-12 | N |
