Deficiency Records for Kaiser Permanente Post-Acute Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Kaiser Permanente Post-Acute 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? |
|---|---|---|---|---|
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-10-22 | 2021-11-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-10-22 | 2021-11-22 | N |
| Use approved construction type or materials. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-03 | 2019-12-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-03 | 2019-12-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-12 | 2019-10-09 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-14 | 2018-12-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-11-14 | 2018-12-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-14 | 2018-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-14 | 2018-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-16 | 2018-09-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-16 | 2018-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-08-16 | 2018-09-16 | 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 | 2018-08-16 | 2018-09-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-16 | 2018-09-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-08-16 | 2018-09-16 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2018-08-16 | 2018-09-16 | 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 | 2018-09-16 | 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 | 2018-08-16 | 2018-09-16 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-08-16 | 2018-09-16 | N |
