Deficiency Records for Bayshire Torrey Pines Post-Acute
Updated as of May 01, 2023
This is not the most recent data for Bayshire Torrey Pines Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for Bayshire Torrey Pines Post-Acute. 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2023-02-23 | 2023-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-23 | 2023-03-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-03-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-09 | 2022-09-02 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-08-27 | 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 | 2019-07-25 | 2019-08-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-25 | 2019-08-27 | 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 | 2019-07-25 | 2019-08-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-25 | 2019-08-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-07-25 | 2019-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-31 | 2019-08-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-31 | 2019-08-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-31 | 2019-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-07-31 | 2019-08-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-31 | 2019-08-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-31 | 2019-08-21 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-07-31 | 2019-08-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-06-29 | 2018-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-29 | 2018-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-29 | 2018-08-10 | 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 | 2018-06-29 | 2018-08-10 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-06-29 | 2018-08-10 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-06-29 | 2018-08-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-06-29 | 2018-08-10 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2018-06-29 | 2018-08-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-06-29 | 2018-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-29 | 2018-08-10 | 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 and emergencies. | Health | 2018-06-29 | 2018-08-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-06-29 | 2018-08-10 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-06-29 | 2018-08-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-28 | 2017-07-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-04-28 | 2017-07-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-28 | 2017-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-28 | 2017-06-21 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-04-28 | 2017-06-21 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-28 | 2017-06-21 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-28 | 2017-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-16 | 2017-06-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-16 | 2017-06-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-16 | 2017-06-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-16 | 2017-06-13 | N |
