Deficiency Records for South Coast Global Medical Center D/p Snf
Updated as of March 01, 2024
A list of the most recent deficiencies for South Coast Global Medical Center 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? |
|---|---|---|---|---|
| Keep all essential equipment working safely. | Health | 2023-10-27 | 2023-12-08 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-10-27 | 2023-12-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-10-27 | 2023-11-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-27 | 2023-11-28 | 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 | 2023-10-27 | 2023-11-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-27 | 2023-11-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-27 | 2023-11-28 | 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 | 2023-10-27 | 2023-11-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-27 | 2023-11-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-27 | 2023-11-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-27 | 2023-11-28 | 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 | 2023-10-27 | 2023-11-28 | 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 | 2023-10-27 | 2023-11-28 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-10-27 | 2023-11-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-11-28 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-10-27 | 2023-11-28 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-11-02 | 2023-11-03 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-02 | 2023-11-03 | N |
| 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 | 2022-10-28 | 2022-11-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-28 | 2022-11-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-28 | 2022-11-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-28 | 2022-11-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-28 | 2022-11-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-10-31 | 2022-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-31 | 2022-11-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-31 | 2022-11-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-31 | 2022-11-14 | 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 | 2021-05-05 | 2021-05-06 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-04 | 2019-06-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-11 | 2019-05-08 | 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 | 2019-04-11 | 2019-05-08 | 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 | 2019-04-11 | 2019-05-08 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-11 | 2019-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-11 | 2019-05-08 | 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 | 2019-04-11 | 2019-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-11 | 2019-05-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-11 | 2019-05-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-11 | 2019-05-08 | 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 | 2019-04-11 | 2019-05-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-11 | 2019-05-08 | 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 | 2019-04-11 | 2019-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-05-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-11 | 2019-05-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-08 | N |
