A list of the most recent deficiencies for The Terraces of Los Gatos. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-11-27 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-09 | 2023-11-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-09-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-04 | 2023-01-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-04 | 2023-01-20 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-22 | 2023-01-06 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-14 | 2022-12-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-11-14 | 2022-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-14 | 2022-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-14 | 2022-12-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-14 | 2022-12-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-14 | 2022-12-14 | 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 | 2022-11-14 | 2022-12-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-14 | 2022-12-14 | 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 | 2022-11-14 | 2022-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-14 | 2022-12-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-27 | 2022-12-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | 2022-12-02 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-11-14 | 2022-11-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-14 | 2022-11-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-27 | 2022-08-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-14 | 2022-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-14 | 2022-05-14 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-30 | 2020-03-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-30 | 2020-03-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-30 | 2020-03-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-12-19 | 2020-01-23 | 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 | 2019-12-19 | 2020-01-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-19 | 2020-01-23 | 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 | 2019-12-19 | 2020-01-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-19 | 2020-01-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-19 | 2020-01-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-19 | 2020-01-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-12-19 | 2020-01-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-19 | 2020-01-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-19 | 2020-01-23 | 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 | 2019-12-19 | 2020-01-23 | 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 | 2019-12-19 | 2020-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-19 | 2020-01-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-02-26 | 2019-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-02-26 | 2019-04-17 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-02-26 | 2019-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-26 | 2019-04-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-12-19 | 2019-01-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-19 | 2019-01-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-19 | 2019-01-18 | 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 | 2018-12-19 | 2019-01-18 | N |
