Deficiency Records for Smith Ranch Skilled Nursing and Rehabilitation Cente
Updated as of March 01, 2024
A list of the most recent deficiencies for Smith Ranch Skilled Nursing and Rehabilitation Cente. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-08-21 | 2023-09-21 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-08-22 | 2023-09-16 | 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 | 2023-08-22 | 2023-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-22 | 2023-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-22 | 2023-09-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-22 | 2023-09-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-22 | 2023-09-16 | N |
| Provide activities to meet all resident's needs. | Health | 2023-08-22 | 2023-09-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-22 | 2023-09-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-22 | 2023-09-16 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-22 | 2023-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-22 | 2023-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-09-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-22 | 2023-09-16 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-07-05 | 2023-08-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-05 | 2023-08-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-05 | 2023-08-04 | Y |
| 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 | 2023-07-05 | 2023-08-04 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-05 | 2023-08-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-05 | 2023-08-04 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-02 | 2022-12-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-30 | 2022-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-06 | 2021-07-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-19 | 2020-01-13 | 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 | 2019-11-19 | 2020-01-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-19 | 2020-01-13 | 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 | 2019-11-19 | 2020-01-13 | 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 | 2019-11-19 | 2020-01-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-19 | 2020-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-19 | 2020-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-19 | 2020-01-13 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-11 | 2020-01-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-11 | 2020-01-03 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-01-08 | 2019-01-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-08 | 2019-01-29 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-01-08 | 2019-01-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-08 | 2019-01-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-08 | 2019-01-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-08 | 2019-01-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-08 | 2019-01-29 | 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 | 2018-11-10 | 2019-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-10 | 2019-01-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-11-10 | 2019-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-10 | 2019-01-10 | 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 | 2018-11-10 | 2019-01-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-11-10 | 2019-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-10 | 2019-01-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-11-10 | 2019-01-10 | 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 | 2018-11-10 | 2019-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-10 | 2019-01-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-10 | 2019-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-10 | 2019-01-10 | N |
| Keep all essential equipment working safely. | Health | 2018-11-10 | 2019-01-10 | N |
