Deficiency Records for St. John's Hospital Camarillo D/p Snf
Updated as of March 01, 2024
A list of the most recent deficiencies for St. John's Hospital Camarillo 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-19 | 2023-10-27 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-15 | 2023-09-28 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-24 | 2023-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-24 | 2023-05-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-24 | 2023-05-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-24 | 2023-04-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-04-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-04-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-02-24 | 2023-03-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-30 | 2023-01-13 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-12-29 | 2022-12-29 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-11-10 | 2022-11-22 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-10-26 | 2022-10-27 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-09-16 | 2022-09-29 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-09-02 | 2022-09-21 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-09-04 | 2022-09-15 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2022-09-04 | 2022-09-15 | 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 | 2022-09-08 | 2022-09-13 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-09-03 | 2022-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-14 | 2022-07-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-05-27 | 2022-06-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-31 | 2022-06-09 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-31 | 2022-06-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-07 | 2022-03-09 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-02-07 | 2022-03-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-22 | 2022-02-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-22 | 2022-02-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-02-01 | 2022-02-22 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-17 | 2022-01-07 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-08 | 2022-01-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-03 | 2021-12-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-24 | 2021-09-20 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-08-24 | 2021-09-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-21 | 2021-08-01 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-13 | 2021-07-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-10 | 2021-05-25 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-05-10 | 2021-05-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-15 | 2021-05-10 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-19 | 2019-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-19 | 2019-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-19 | 2019-08-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-07-19 | 2019-08-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-07-19 | 2019-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-19 | 2019-08-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-07-19 | 2019-08-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-20 | 2019-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-20 | 2019-06-12 | 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 | 2019-05-20 | 2019-06-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-20 | 2019-06-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-20 | 2019-06-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-20 | 2019-06-12 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-05-20 | 2019-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-20 | 2019-06-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-16 | 2018-07-27 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-16 | 2018-07-27 | N |
| Develop a communication plan. | Fire Safety | 2018-07-16 | 2018-07-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-16 | 2018-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-16 | 2018-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-16 | 2018-07-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-03 | 2018-05-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-03 | 2018-05-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-03 | 2018-05-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-03 | 2018-05-26 | 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 | 2018-05-03 | 2018-05-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-03 | 2018-05-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-05-03 | 2018-05-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-03 | 2018-05-26 | 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 | 2018-05-03 | 2018-05-26 | 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 | 2018-05-03 | 2018-05-26 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-05-03 | 2018-05-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-03 | 2018-05-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-03 | 2018-05-26 | N |
