Deficiency Records for Lompoc Skilled Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Lompoc Skilled Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-03 | 2023-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-10-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-18 | 2023-09-14 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-18 | 2023-09-14 | 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 | 2023-08-18 | 2023-09-14 | 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 | 2023-08-18 | 2023-09-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-18 | 2023-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-09-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-24 | 2023-09-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-24 | 2023-09-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-24 | 2023-09-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-24 | 2023-09-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-24 | 2023-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-24 | 2023-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-24 | 2023-09-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-14 | 2023-08-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-14 | 2023-08-19 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-11 | 2023-06-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-16 | 2023-03-24 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-11-20 | 2019-11-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-20 | 2019-11-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-20 | 2019-11-27 | 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 | 2019-11-20 | 2019-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-20 | 2019-11-27 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-11-20 | 2019-11-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-10 | 2019-11-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-10 | 2019-11-11 | 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 | 2019-10-10 | 2019-11-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-10 | 2019-10-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-10 | 2019-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-01-09 | 2019-01-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-09 | 2019-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-01-09 | 2019-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-18 | 2018-11-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-18 | 2018-11-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-18 | 2018-11-13 | N |
