Deficiency Records for Prestige Care and Rehabilitation - Menlo Park
Updated as of April 01, 2024
A list of the most recent deficiencies for Prestige Care and Rehabilitation - Menlo Park. 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? |
|---|---|---|---|---|
| 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 | 2023-07-31 | 2023-09-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-31 | 2023-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-31 | 2023-09-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-31 | 2023-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-09-13 | Y |
| 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 | 2023-07-31 | 2023-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-09-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-26 | 2023-09-12 | 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 | 2023-07-26 | 2023-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-26 | 2023-09-12 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-06-02 | 2023-06-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-02 | 2023-06-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-04 | 2023-01-31 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-16 | 2022-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-22 | 2022-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-22 | 2022-04-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-22 | 2022-04-01 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2022-02-22 | 2022-04-01 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-02-22 | 2022-04-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-22 | 2022-04-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-22 | 2022-03-16 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-25 | 2019-11-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-01 | 2019-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-08-13 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-07-01 | 2019-07-31 | 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 | 2019-07-01 | 2019-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-01 | 2019-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-01 | 2019-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-01 | 2019-07-31 | 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 | 2019-07-01 | 2019-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-01 | 2019-07-31 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-25 | 2019-07-31 | 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 | 2019-06-25 | 2019-07-31 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-25 | 2019-07-31 | N |
| Meet other general requirements. | Fire Safety | 2019-06-25 | 2019-07-31 | 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 | 2017-10-09 | 2017-11-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-10-09 | 2017-11-10 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-10-09 | 2017-11-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-09 | 2017-11-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-10-09 | 2017-11-10 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-10-09 | 2017-11-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-10-09 | 2017-11-10 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-10-09 | 2017-11-10 | N |
| Provide or obtain dental services for each resident. | Health | 2017-10-09 | 2017-11-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-10-06 | 2017-11-10 | N |
