Deficiency Records for Tracy Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Tracy Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-18 | 2023-09-14 | 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 | 2023-08-18 | 2023-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-18 | 2023-09-14 | N |
| Post nurse staffing information every day. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-18 | 2023-09-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-18 | 2023-09-14 | 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 | 2023-08-18 | 2023-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-18 | 2023-09-14 | N |
| Keep all essential equipment working safely. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-22 | 2023-09-05 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-02-22 | 2023-03-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-09-29 | 2021-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-23 | 2021-09-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-07 | 2019-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-07 | 2019-04-10 | 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 | 2019-02-07 | 2019-04-10 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-02-07 | 2019-04-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-07 | 2019-04-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-07 | 2019-04-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-02-07 | 2019-04-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-07 | 2019-04-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-02-21 | 2019-03-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-22 | 2018-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-22 | 2018-05-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-03-22 | 2018-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-22 | 2018-05-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-03-22 | 2018-05-21 | N |
| Develop a communication plan. | Fire Safety | 2018-04-02 | 2018-04-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-04-02 | 2018-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-02 | 2018-04-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-04-02 | 2018-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-02 | 2018-04-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-02 | 2018-04-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-04-02 | 2018-04-18 | N |
