A list of the most recent deficiencies for Avamere Rehabilitation of King City. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-04-10 | 2023-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-04-26 | 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 | 2023-04-10 | 2023-04-26 | 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 | 2023-04-10 | 2023-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-10 | 2023-04-26 | 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 | 2023-04-10 | 2023-04-26 | 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 | 2023-04-10 | 2023-04-26 | 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 | 2023-04-10 | 2023-04-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-10 | 2023-04-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-10 | 2023-04-26 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-05 | 2023-04-26 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-04-05 | 2023-04-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-23 | 2023-03-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-03-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-29 | 2022-11-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-02-24 | 2022-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-24 | 2022-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-03-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-24 | 2022-03-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Develop a communication plan. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-09 | 2022-03-28 | 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 | 2022-02-09 | 2022-03-28 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-02-09 | 2022-03-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-12 | 2021-11-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-12 | 2021-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-12 | 2021-11-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-12 | 2021-11-16 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-10-12 | 2021-11-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-12 | 2021-11-16 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-10-12 | 2021-11-16 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-12 | 2021-11-16 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-10-12 | 2021-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-12 | 2021-11-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-12 | 2021-11-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-12 | 2021-11-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-12 | 2021-11-16 | 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 | 2021-10-12 | 2021-11-16 | Y |
| 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 | 2021-10-12 | 2021-11-16 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-12 | 2021-11-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-12 | 2021-11-16 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-10-12 | 2021-11-16 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-10-12 | 2021-11-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-12 | 2021-11-16 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-28 | 2020-04-18 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-28 | 2020-04-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-28 | 2020-04-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-28 | 2020-04-18 | 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 | 2020-02-28 | 2020-04-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-28 | 2020-04-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-28 | 2020-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-28 | 2020-04-18 | N |
| 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 | 2020-02-28 | 2020-04-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-28 | 2020-04-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-28 | 2020-04-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-28 | 2020-04-18 | 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 | 2020-02-28 | 2020-04-18 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-28 | 2020-04-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-28 | 2020-04-18 | 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 | 2020-02-28 | 2020-04-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-28 | 2020-04-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-02-28 | 2020-04-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-04-15 | N |
