A list of the most recent deficiencies for San Mateo Medical Center D/p Snf. 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 that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-11-29 | 2023-12-19 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-29 | 2023-12-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-20 | 2023-11-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-10-20 | 2023-11-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-20 | 2023-11-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-20 | 2023-11-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-20 | 2023-11-17 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-20 | 2023-11-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-11-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-20 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-20 | 2023-11-17 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-10-20 | 2023-11-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-25 | 2023-11-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-26 | 2023-07-22 | 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 | 2023-05-24 | 2023-06-24 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-24 | 2023-06-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-30 | 2022-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-30 | 2022-10-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-30 | 2022-10-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-30 | 2022-10-03 | Y |
| 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 | 2022-06-30 | 2022-10-03 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-30 | 2022-10-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-10-03 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-12-28 | 2022-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-25 | 2022-01-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-23 | 2021-12-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-13 | 2021-06-28 | 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 | 2021-05-13 | 2021-06-28 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-13 | 2021-06-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-13 | 2021-06-28 | 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 | 2021-05-10 | 2021-06-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-10 | 2021-06-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-10 | 2021-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-10 | 2021-06-16 | 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 | 2021-05-10 | 2021-06-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-10 | 2021-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-10 | 2021-06-16 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-04 | 2021-06-15 | Y |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2021-05-04 | 2021-06-15 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-05-03 | 2021-06-15 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-09-12 | 2019-10-02 | 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 | 2019-09-12 | 2019-10-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-12 | 2019-10-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-08 | 2019-09-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-08 | 2019-09-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-08 | 2019-09-30 | 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 | 2019-08-08 | 2019-09-30 | 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 | 2019-08-08 | 2019-09-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-08-08 | 2019-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-08 | 2019-09-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-08 | 2019-09-30 | N |
| Use approved construction type or materials. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| 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 | 2018-11-28 | 2019-01-03 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-28 | 2019-01-03 | 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 | 2018-11-28 | 2019-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-11-28 | 2019-01-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-20 | 2018-09-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-20 | 2018-09-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-20 | 2018-09-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-20 | 2018-09-21 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-20 | 2018-09-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-20 | 2018-09-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-20 | 2018-09-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-08-20 | 2018-09-21 | 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 | 2018-08-20 | 2018-09-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-08-20 | 2018-09-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-20 | 2018-09-21 | N |
