Deficiency Records for Coalinga Regional Medical Ctr Dp/snf
Updated as of April 01, 2024
A list of the most recent deficiencies for Coalinga Regional Medical Ctr 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-01-26 | 2024-02-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-01-26 | 2024-02-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-26 | 2024-02-25 | 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 | 2024-01-26 | 2024-02-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-01-26 | 2024-02-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-25 | 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 | 2024-01-26 | 2024-02-25 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-01-26 | 2024-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-01 | 2024-02-20 | N |
| Use approved construction type or materials. | Fire Safety | 2024-02-01 | 2024-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-01 | 2024-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-01 | 2024-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-01 | 2024-02-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-11-23 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-10-13 | 2022-06-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-13 | 2022-06-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-13 | 2022-06-01 | 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 | 2021-10-13 | 2022-06-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-10-13 | 2022-06-01 | 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 | 2021-10-13 | 2022-06-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-10-13 | 2022-06-01 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-10-13 | 2022-06-01 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-10-13 | 2022-06-01 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-10-13 | 2022-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-13 | 2022-06-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-10-13 | 2022-06-01 | N |
| Provide appropriate foot care. | Health | 2021-10-13 | 2021-12-30 | 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 | 2021-10-13 | 2021-12-30 | 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 | 2021-10-13 | 2021-12-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-10-13 | 2021-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-13 | 2021-12-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-10-13 | 2021-12-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Use approved construction type or materials. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-13 | 2021-11-01 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2017-09-08 | 2017-11-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-09-08 | 2017-11-01 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-09-08 | 2017-11-01 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2017-09-08 | 2017-11-01 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-09-08 | 2017-11-01 | N |
| Keep each resident free from drugs that restrain them, unless needed for medical treatment. | Health | 2017-09-08 | 2017-11-01 | 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 | 2017-09-08 | 2017-11-01 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-08 | 2017-11-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-09-08 | 2017-11-01 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-09-08 | 2017-11-01 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-09-08 | 2017-11-01 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-08 | 2017-11-01 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-08 | 2017-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-09-08 | 2017-11-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-09-08 | 2017-11-01 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-08 | 2017-11-01 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-08 | 2017-11-01 | 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 | 2017-09-08 | 2017-11-01 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-09-08 | 2017-11-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-08 | 2017-11-01 | 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 | 2017-09-08 | 2017-11-01 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-08 | 2017-11-01 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-08 | 2017-11-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-09-08 | 2017-11-01 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-09-08 | 2017-11-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-09-08 | 2017-11-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-19 | 2017-10-24 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-09-19 | 2017-10-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-19 | 2017-10-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-09-19 | 2017-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-09-19 | 2017-10-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-19 | 2017-10-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-09-19 | 2017-10-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-08 | Not Fixed | Y |
