A list of the most recent deficiencies for Milpitas Care Center. 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? |
---|---|---|---|---|
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-05 | 2023-12-12 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-09-05 | 2023-09-06 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-07-28 | 2023-08-15 | Y |
Provide activities to meet all resident's needs. | Health | 2023-07-28 | 2023-08-15 | Y |
Ensure the activities program is directed by a qualified professional. | Health | 2023-07-28 | 2023-08-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-01-04 | 2023-01-18 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
List the names and contact information of those in the facility. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Provide primary/alternate means for communication. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Establish methods for sharing information. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Provide family notifications of emergency plan. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-25 | 2022-08-31 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-22 | 2022-08-24 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-07-22 | 2022-08-24 | N |
Provide activities to meet all resident's needs. | Health | 2022-07-22 | 2022-08-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-22 | 2022-08-24 | N |
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 | 2022-07-22 | 2022-08-24 | 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 | 2022-07-22 | 2022-08-24 | 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 | 2022-07-22 | 2022-08-24 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-22 | 2022-08-24 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-07-22 | 2022-08-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-22 | 2022-08-24 | N |
Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-08-24 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-07-22 | 2022-08-24 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-07-22 | 2022-08-24 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-22 | 2022-08-24 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-07-22 | 2022-08-24 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-07 | 2022-06-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-10 | 2022-05-20 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-24 | 2022-04-26 | Y |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-12-03 | 2021-12-31 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-10-18 | 2021-11-12 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-10-18 | 2021-11-12 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Provide emergency officials' contact information. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-08-21 | 2019-09-09 | 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 | 2019-08-21 | 2019-09-09 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-21 | 2019-09-09 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-19 | 2019-07-09 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-06-19 | 2019-07-09 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-19 | 2019-07-09 | N |
Provide activities to meet all resident's needs. | Health | 2019-06-19 | 2019-07-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-19 | 2019-07-09 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-19 | 2019-07-09 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-19 | 2019-07-09 | 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 | 2019-06-19 | 2019-07-09 | 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 | 2019-06-19 | 2019-07-09 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-19 | 2019-07-09 | 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 | 2019-06-19 | 2019-07-09 | N |
Provide or obtain dental services for each resident. | Health | 2019-06-19 | 2019-07-09 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-06-19 | 2019-07-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-19 | 2019-07-09 | N |
Provide and implement an infection prevention and control program. | Health | 2019-06-19 | 2019-07-09 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-06-19 | 2019-07-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-15 | 2018-12-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-15 | 2018-12-18 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-11-15 | 2018-12-18 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-15 | 2018-12-18 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-16 | 2018-09-15 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-08-16 | 2018-09-15 | 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 | 2018-08-16 | 2018-09-15 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-08-16 | 2018-09-15 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-08-16 | 2018-09-15 | N |