A list of the most recent deficiencies for San Pedro Manor. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-12 | 2023-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-12 | 2023-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-05-15 | N |
| Dispose of garbage and refuse properly. | Health | 2023-05-12 | 2023-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-12 | 2023-05-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-10 | 2023-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-10 | 2023-05-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-05-10 | 2023-05-15 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-05-10 | 2023-05-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-23 | 2023-03-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-03-27 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-03-23 | 2023-03-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-23 | 2023-01-26 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-23 | 2023-01-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-23 | 2023-01-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-23 | 2023-01-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-02 | 2022-12-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-02 | 2022-12-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-02 | 2022-12-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-02 | 2022-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-02 | 2022-12-05 | 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 | 2022-12-02 | 2022-12-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-02 | 2022-12-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-27 | 2022-06-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-27 | 2022-06-29 | Y |
| Keep all essential equipment working safely. | Health | 2022-06-27 | 2022-06-29 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-16 | 2022-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-21 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-17 | 2022-04-21 | Y |
| 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 | 2022-03-16 | 2022-04-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-16 | 2022-04-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-03-16 | 2022-04-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-16 | 2022-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-16 | 2022-04-05 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-03-16 | 2022-03-18 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-03-16 | 2022-03-18 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-03-16 | 2022-03-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-09 | 2022-03-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-14 | 2022-01-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-02 | 2021-10-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-10-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-28 | 2021-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-28 | 2021-06-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-05-28 | 2021-06-30 | N |
| Dispose of garbage and refuse properly. | Health | 2021-05-28 | 2021-06-30 | N |
| Keep all essential equipment working safely. | Health | 2021-05-28 | 2021-06-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-28 | 2021-06-30 | Y |
| 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 | 2021-05-28 | 2021-06-30 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-05-28 | 2021-06-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-28 | 2021-06-30 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-27 | 2021-06-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-27 | 2021-06-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-05-27 | 2021-06-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-27 | 2021-05-31 | N |
