A list of the most recent deficiencies for Walnut Creek Nursing 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? |
|---|---|---|---|---|
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-18 | 2024-02-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-18 | 2024-02-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-03 | 2023-12-12 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-11-16 | 2023-12-12 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-16 | 2023-12-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-16 | 2023-12-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-16 | 2023-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-16 | 2023-12-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-16 | 2023-12-12 | 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 | 2023-11-16 | 2023-12-12 | 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 | 2023-11-16 | 2023-12-12 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2023-11-16 | 2023-12-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-11-16 | 2023-12-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-15 | 2023-12-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-15 | 2023-12-12 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-19 | 2023-11-16 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-06 | 2023-08-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-06 | 2023-08-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-06 | 2023-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-28 | 2023-04-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-03-08 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-16 | 2023-03-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-29 | 2022-08-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-06-29 | 2022-08-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-29 | 2022-08-04 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-06-29 | 2022-08-04 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-22 | 2022-08-04 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-06-22 | 2022-08-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-22 | 2022-08-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-22 | 2022-08-04 | 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 | 2022-06-22 | 2022-08-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-22 | 2022-08-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-22 | 2022-08-04 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-04-26 | 2022-05-16 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-05-25 | 2021-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-25 | 2021-08-31 | 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 | 2021-05-25 | 2021-08-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-25 | 2021-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-25 | 2021-08-31 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-25 | 2021-08-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-25 | 2021-08-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-25 | 2021-08-11 | N |
| Respond appropriately to all alleged violations. | Health | 2021-05-25 | 2021-08-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-25 | 2021-08-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-25 | 2021-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-25 | 2021-08-11 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-25 | 2021-08-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-25 | 2021-08-11 | 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 | 2021-05-25 | 2021-08-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-25 | 2021-08-11 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2021-05-17 | 2021-08-02 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-06-16 | 2021-07-06 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-13 | 2019-03-20 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-13 | 2019-03-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-02-13 | 2019-03-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-13 | 2019-03-20 | 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 | 2019-02-13 | 2019-03-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-13 | 2019-03-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-13 | 2019-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-13 | 2019-03-20 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-02-13 | 2019-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-13 | 2019-03-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-12 | 2019-03-20 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-02-12 | 2019-03-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-02-12 | 2019-03-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-12 | 2019-03-20 | N |
