Deficiency Records for Pacific Care and Rehabilitation
Updated as of February 01, 2022
This is not the most recent data for Pacific Care and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Pacific Care 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 | 2021-06-30 | 2021-07-20 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-13 | 2019-09-08 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-08-13 | 2019-09-08 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-13 | 2019-09-08 | N |
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 | 2019-08-13 | 2019-09-08 | 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 | 2019-08-13 | 2019-09-08 | N |
Respond appropriately to all alleged violations. | Health | 2019-08-13 | 2019-09-08 | N |
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 | 2019-08-13 | 2019-09-08 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-13 | 2019-09-08 | 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 | 2019-08-13 | 2019-09-08 | N |
Provide activities to meet all resident's needs. | Health | 2019-08-13 | 2019-09-08 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-13 | 2019-09-08 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-13 | 2019-09-08 | 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 | 2019-08-13 | 2019-09-08 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-13 | 2019-09-08 | 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 | 2019-08-13 | 2019-09-08 | N |
Post nurse staffing information every day. | Health | 2019-08-13 | 2019-09-08 | N |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-08-13 | 2019-09-08 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-13 | 2019-09-08 | 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 | 2019-08-13 | 2019-09-08 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-13 | 2019-09-08 | 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 | 2019-08-13 | 2019-09-08 | N |
Provide and implement an infection prevention and control program. | Health | 2019-08-13 | 2019-09-08 | N |
Implement a program that monitors antibiotic use. | Health | 2019-08-13 | 2019-09-08 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-08-13 | 2019-09-08 | N |
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2019-08-13 | 2019-09-08 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-08-13 | 2019-09-08 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-11 | 2019-09-08 | Y |
Provide properly protected cooking facilities. | Fire Safety | 2019-08-07 | 2019-08-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-07 | 2019-08-22 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-07 | 2019-08-22 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-07 | 2019-08-22 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-07 | 2019-08-22 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-11 | 2019-04-26 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-05 | 2019-04-26 | 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 | 2019-03-05 | 2019-04-26 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-09-25 | 2018-10-17 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-25 | 2018-10-17 | N |
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 | 2018-09-25 | 2018-10-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-25 | 2018-10-17 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-09-25 | 2018-10-17 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-09-25 | 2018-10-17 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-25 | 2018-10-17 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-25 | 2018-10-17 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-25 | 2018-10-17 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-25 | 2018-10-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-09-25 | 2018-10-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-25 | 2018-10-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-10-15 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-25 | 2018-10-15 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-09-25 | 2018-10-15 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-25 | 2018-10-15 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-25 | 2018-10-15 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-07-26 | 2017-10-19 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-07-26 | 2017-10-04 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-26 | 2017-10-04 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-07-26 | 2017-10-04 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-07-26 | 2017-10-04 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-26 | 2017-09-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-07-26 | 2017-09-18 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-07-26 | 2017-09-18 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-07-26 | 2017-09-18 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2017-07-26 | 2017-09-18 | N |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-01 | 2017-08-23 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-01 | 2017-08-23 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-01 | 2017-08-23 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-01 | 2017-08-23 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-08-01 | 2017-08-23 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-01 | 2017-08-23 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-08-01 | 2017-08-23 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-01 | 2017-08-23 | N |