A list of the most recent deficiencies for Pacific Coast Post Acute. 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 | 2023-05-26 | 2023-06-22 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-26 | 2023-06-22 | 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 | 2023-05-26 | 2023-06-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-26 | 2023-06-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-26 | 2023-06-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-26 | 2023-06-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-26 | 2023-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-26 | 2023-06-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-05-26 | 2023-06-22 | 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 | 2023-05-26 | 2023-06-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-26 | 2023-06-22 | 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 | 2023-05-26 | 2023-06-22 | 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 | 2023-05-26 | 2023-06-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-26 | 2023-06-22 | 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 | 2023-05-26 | 2023-06-22 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-05-26 | 2023-06-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-05-26 | 2023-06-22 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2023-05-26 | 2023-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-26 | 2023-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-22 | 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 | 2023-05-30 | 2023-06-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-30 | 2023-06-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-30 | 2023-06-09 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-30 | 2023-06-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-30 | 2023-06-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-30 | 2023-06-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-05-30 | 2023-06-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-30 | 2023-06-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-09 | 2023-01-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-06 | 2022-12-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-08 | 2022-08-31 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-29 | 2022-02-08 | Y |
| 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 | 2019-05-15 | 2019-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-15 | 2019-06-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-14 | 2019-04-08 | 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 | 2019-03-14 | 2019-04-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-14 | 2019-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-14 | 2019-04-08 | 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 | 2019-03-14 | 2019-04-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-03-13 | 2018-04-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-03-13 | 2018-04-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-13 | 2018-04-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-02-16 | 2018-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-16 | 2018-03-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-02-16 | 2018-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-16 | 2018-03-01 | 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 | 2018-02-16 | 2018-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-16 | 2018-03-01 | N |
