Deficiency Records for Milpitas Care Center
Updated as of May 01, 2024
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Deficiency Records for Milpitas Care Center
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.
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 | 2024-03-01 | 2024-03-31 | 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 | 2024-03-01 | 2024-03-31 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-01 | 2024-03-31 | 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 | 2024-03-01 | 2024-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-01 | 2024-03-31 | N |
| Dispose of garbage and refuse properly. | Health | 2024-03-01 | 2024-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-01 | 2024-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-01 | 2024-03-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-03-01 | 2024-03-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-01 | 2024-03-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-01 | 2024-03-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-05 | 2024-03-14 | N |
| 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 |
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