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Deficiency Records for Foothill Regional Medical Center D/p Snf
View the most recent health deficiencies and inspection results for Foothill Regional Medical Center D/p Snf. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Foothill Regional Medical Center D/p Snf. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-05 | 2026-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-05 | 2026-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-05 | 2026-03-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-02-05 | 2026-02-23 | 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 (including nights and weekends) and emergencies. | Health | 2026-02-05 | 2026-02-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-02-05 | 2026-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-05 | 2026-02-18 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-02-05 | 2026-02-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-05 | 2026-02-13 | 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 | 2026-02-05 | 2026-02-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2026-02-05 | 2026-02-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-02-05 | 2026-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-03 | 2025-02-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-02-03 | 2025-02-28 | N |
| Keep all essential equipment working safely. | Health | 2025-02-03 | 2025-02-28 | 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 | 2025-02-03 | 2025-02-28 | 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 | 2025-02-03 | 2025-02-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2025-02-03 | 2025-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-02-03 | 2025-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-03 | 2025-02-28 | 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 | 2025-02-03 | 2025-02-28 | 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 | 2025-02-03 | 2025-02-28 | 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 | 2025-02-03 | 2025-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-02-03 | 2025-02-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-02-03 | 2025-02-28 | N |
| Dispose of garbage and refuse properly. | Health | 2025-02-03 | 2025-02-21 | 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 | 2025-02-03 | 2025-02-21 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-03 | 2025-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-03 | 2025-02-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-02-03 | 2025-02-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-03 | 2024-12-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-03 | 2024-12-05 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-29 | 2024-03-29 | Y |
| 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 | 2024-02-29 | 2024-03-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-29 | 2024-03-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | 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 | 2024-02-29 | 2024-03-29 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-29 | 2024-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-28 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-02-29 | 2024-03-22 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-02-29 | 2024-03-20 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2024-02-29 | 2024-03-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-29 | 2024-03-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-02-29 | 2024-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-02 | 2024-02-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-02 | 2024-02-26 | Y |
| 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 | 2023-12-08 | 2023-12-08 | Y |
| 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 | 2023-12-08 | 2023-12-08 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-08-22 | 2023-09-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-22 | 2023-09-25 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-08-22 | 2023-09-25 | Y |
| 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 | 2023-08-22 | 2023-08-23 | Y |
| 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 | 2023-08-22 | 2023-08-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-22 | 2023-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-07-05 | 2023-07-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-31 | 2023-06-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | 2023-06-15 | Y |