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Deficiency Records for Bayshire San Dimas Post-Acute
View the most recent health deficiencies and inspection results for Bayshire San Dimas Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bayshire San Dimas Post-Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-09 | 2026-04-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-04-09 | 2026-04-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-04-09 | 2026-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-09 | 2026-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-09 | 2026-04-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-09 | 2026-04-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-09 | 2026-04-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-09 | 2026-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2026-04-09 | 2026-04-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-04-09 | 2026-04-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-12-11 | 2026-01-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-11 | 2026-01-05 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-12-11 | 2026-01-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-11 | 2026-01-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-11 | 2026-01-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-11 | 2026-01-05 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-29 | 2025-09-19 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-02-09 | 2025-03-06 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2025-02-09 | 2025-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-09 | 2025-03-05 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-02-09 | 2025-03-05 | 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 | 2025-02-09 | 2025-03-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-09 | 2025-03-05 | 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 | 2025-02-09 | 2025-03-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-09 | 2025-03-05 | N |
| Keep all essential equipment working safely. | Health | 2025-02-09 | 2025-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-09 | 2025-03-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-09 | 2025-03-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-02-09 | 2025-03-05 | N |
| Post nurse staffing information every day. | Health | 2025-02-09 | 2025-03-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-02-09 | 2025-03-05 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2025-02-09 | 2025-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-02-09 | 2025-02-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-02-09 | 2025-02-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-02-09 | 2025-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-09 | 2025-02-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-11-06 | 2024-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-06 | 2024-11-26 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-07-18 | 2024-08-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-18 | 2024-08-27 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-07-18 | 2024-08-27 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-07-18 | 2024-08-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-26 | 2024-07-19 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-06-26 | 2024-07-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-29 | 2024-02-25 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-01-29 | 2024-02-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-29 | 2024-02-25 | 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 | 2024-01-29 | 2024-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-29 | 2024-02-25 | N |
| Post nurse staffing information every day. | Health | 2024-01-29 | 2024-02-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-29 | 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 | 2024-01-29 | 2024-02-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-29 | 2024-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-29 | 2024-02-25 | 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 | 2024-01-29 | 2024-02-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-29 | 2024-02-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-29 | 2024-02-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-29 | 2024-02-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-29 | 2024-02-22 | 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 | 2024-01-29 | 2024-02-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-29 | 2024-02-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-27 | 2023-10-27 | Y |