CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for San Juan Hills Healthcare Center
View the most recent health deficiencies and inspection results for San Juan Hills Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for San Juan Hills Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2026-04-20 | 2026-05-05 | Y |
| 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 | 2026-01-22 | 2026-03-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2026-01-22 | 2026-03-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-22 | 2026-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-22 | 2026-03-03 | 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 | 2026-01-22 | 2026-03-03 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-01-22 | 2026-03-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-01-22 | 2026-03-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-22 | 2026-03-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-01-22 | 2026-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-01-22 | 2026-03-03 | N |
| Dispose of garbage and refuse properly. | Health | 2026-01-22 | 2026-03-03 | 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 | 2026-01-22 | 2026-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-22 | 2026-03-03 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2026-01-22 | 2026-03-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-01-22 | 2026-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-22 | 2026-02-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-10-15 | 2025-11-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-15 | 2025-08-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-07-15 | 2025-08-02 | 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 | 2025-07-15 | 2025-08-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-23 | 2025-06-19 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Ensure equipment listed for use in oxygen-enriched atmospheres are correctly labeled. | Fire Safety | 2024-11-15 | 2024-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-11-15 | 2024-12-14 | 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 | 2024-11-15 | 2024-12-13 | 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 | 2024-11-15 | 2024-12-13 | 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 | 2024-11-15 | 2024-12-13 | 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 | 2024-11-15 | 2024-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-15 | 2024-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-15 | 2024-12-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-11-15 | 2024-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-15 | 2024-12-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-11-15 | 2024-12-13 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-11-15 | 2024-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-15 | 2024-12-13 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-11-15 | 2024-12-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-15 | 2024-12-13 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-15 | 2024-12-13 | Y |
| Keep all essential equipment working safely. | Health | 2024-11-15 | 2024-12-13 | 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 | 2024-11-15 | 2024-12-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-15 | 2024-12-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-15 | 2024-12-13 | 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 | 2024-11-15 | 2024-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-15 | 2024-12-13 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-11-15 | 2024-12-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-11-15 | 2024-12-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-15 | 2024-12-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-12 | 2024-01-02 | Y |
| Keep all essential equipment working safely. | Health | 2023-11-17 | 2023-12-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-17 | 2023-12-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-11-17 | 2023-12-15 | 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 | 2023-11-17 | 2023-12-15 | 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 | 2023-11-17 | 2023-12-15 | 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 | 2023-11-17 | 2023-12-15 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-17 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-17 | 2023-12-15 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-11-17 | 2023-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-12-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-17 | 2023-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-17 | 2023-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-17 | 2023-12-15 | N |
| Provide activities to meet all resident's needs. | Health | 2023-11-17 | 2023-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-17 | 2023-12-15 | 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 | 2023-11-17 | 2023-12-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-17 | 2023-12-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-17 | 2023-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-17 | 2023-12-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-17 | 2023-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-17 | 2023-12-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-17 | 2023-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-17 | 2023-12-07 | N |