Deficiency Records for Eastern Plumas Hospital- Portola Campus Dp/snf
Updated as of September 01, 2018
This is not the most recent data for Eastern Plumas Hospital- Portola Campus Dp/snf. For the most recent information, click here.
A list of the most recent deficiencies for Eastern Plumas Hospital- Portola Campus Dp/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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2017-12-22 | 2018-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-22 | 2018-02-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-22 | 2018-02-13 | 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 | 2017-12-22 | 2018-02-13 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2017-12-22 | 2018-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-22 | 2018-02-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2017-12-22 | 2018-02-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2017-12-22 | 2018-02-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-22 | 2018-02-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-01-04 | 2018-01-18 | N |
| Use approved construction type or materials. | Fire Safety | 2018-01-04 | 2018-01-18 | N |
| 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 | 2018-01-04 | 2018-01-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-04 | 2018-01-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-04 | 2018-01-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-01-04 | 2018-01-18 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-14 | 2017-10-17 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-14 | 2017-10-17 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-09 | 2017-01-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2016-11-03 | 2016-11-29 | 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 | 2016-11-03 | 2016-11-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-11-03 | 2016-11-29 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-27 | 2016-11-22 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-27 | 2016-11-22 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-27 | 2016-11-22 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-27 | 2016-11-22 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-27 | 2016-11-22 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-10-27 | 2016-11-22 | N |
| Provide food in a way that meets a resident's needs. | Health | 2016-10-27 | 2016-11-22 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-10-27 | 2016-11-22 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-27 | 2016-11-22 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2016-10-27 | 2016-11-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-08-14 | 2015-09-25 | N |
| Provide residents with private access to a telephone. | Health | 2015-08-14 | 2015-09-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-08-14 | 2015-09-25 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-08-14 | 2015-09-25 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-08-14 | 2015-09-25 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-08-14 | 2015-09-25 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2015-08-14 | 2015-09-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-08-14 | 2015-09-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2015-08-14 | 2015-09-25 | N |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-08-14 | 2015-09-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-08-14 | 2015-09-25 | N |
| Approved construction type or materials. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
| Properly located and lighted "Exit" signs. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
| Portable fire extinguishers. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
| Restrictions on the use of highly flammable decorations. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-08-26 | 2015-09-17 | N |
