Deficiency Records for Saratoga Retirement Community Health Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Saratoga Retirement Community Health 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-01-24 | 2023-02-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-21 | 2022-11-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-21 | 2022-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-11-18 | 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 | 2022-10-21 | 2022-11-18 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-10-21 | 2022-11-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-21 | 2022-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-21 | 2022-11-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-11-18 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2022-10-25 | 2022-11-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-10-25 | 2022-11-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-25 | 2022-11-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-25 | 2022-11-08 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-10-25 | 2022-11-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-25 | 2022-11-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-25 | 2022-11-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-02-26 | 2020-03-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-26 | 2020-03-25 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-26 | 2020-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-26 | 2020-03-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-26 | 2020-03-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-06 | 2020-03-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-06 | 2020-03-04 | 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 | 2020-02-06 | 2020-03-04 | 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 | 2020-02-06 | 2020-03-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-06 | 2020-03-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-06 | 2020-03-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-04-16 | 2019-05-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-16 | 2019-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-04 | 2019-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-04 | 2019-01-25 | N |
