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Deficiency Records for Bayshire Yorba Linda Post-Acute
View the most recent health deficiencies and inspection results for Bayshire Yorba Linda Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Bayshire Yorba Linda Post-Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2026-04-15 | 2026-05-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-04-15 | 2026-05-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-04-15 | 2026-05-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-04-15 | 2026-05-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-04-15 | 2026-05-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-04-15 | 2026-05-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-04-15 | 2026-05-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-15 | 2026-05-09 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-04-15 | 2026-05-09 | 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 | 2026-04-15 | 2026-05-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2026-04-15 | 2026-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-04-15 | 2026-05-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-04-15 | 2026-05-09 | 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 | 2026-04-15 | 2026-05-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2026-04-15 | 2026-05-09 | 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 | 2026-04-15 | 2026-05-09 | 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 | 2026-04-15 | 2026-05-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-04-15 | 2026-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-04-15 | 2026-05-09 | N |
| Dispose of garbage and refuse properly. | Health | 2026-04-15 | 2026-05-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-15 | 2026-05-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-04-15 | 2026-05-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-25 | 2025-12-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-07 | 2025-05-03 | 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 | 2025-04-07 | 2025-05-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-07 | 2025-05-03 | 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 | 2025-04-07 | 2025-05-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-07 | 2025-05-03 | 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 | 2025-04-07 | 2025-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-07 | 2025-05-03 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-04-07 | 2025-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-07 | 2025-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-07 | 2025-05-03 | N |
| Keep all essential equipment working safely. | Health | 2025-04-07 | 2025-05-03 | 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 | 2025-04-07 | 2025-05-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-07 | 2025-05-03 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-04-07 | 2025-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-04-07 | 2025-04-24 | N |
| Use approved construction type or materials. | Fire Safety | 2025-04-07 | 2025-04-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-07 | 2025-04-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-07 | 2025-04-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-04-07 | 2025-04-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-03-04 | 2025-03-17 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-01-26 | 2024-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-26 | 2024-02-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-26 | 2024-02-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-01-26 | 2024-02-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-01-26 | 2024-02-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-26 | 2024-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-26 | 2024-02-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-26 | 2024-02-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-26 | 2024-02-23 | 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 | 2024-01-26 | 2024-02-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-26 | 2024-02-23 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-26 | 2024-02-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-26 | 2024-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-26 | 2024-02-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-01-26 | 2024-02-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-26 | 2024-02-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-26 | 2024-02-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-26 | 2024-02-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-26 | 2024-02-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-26 | 2024-02-21 | N |
| Keep all essential equipment working safely. | Health | 2024-01-26 | 2024-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-26 | 2024-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-26 | 2024-02-21 | N |