A list of the most recent deficiencies for Novato Healthcare 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? |
---|---|---|---|---|
Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-10-25 | 2023-11-03 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-09 | 2023-10-25 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-05 | 2023-10-23 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-11 | 2023-08-02 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-11 | 2023-08-02 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-23 | 2023-06-19 | Y |
Respond appropriately to all alleged violations. | Health | 2023-05-23 | 2023-06-19 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-02-13 | 2023-02-24 | Y |
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 | 2022-03-18 | 2022-05-20 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-03-18 | 2022-05-17 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-04-11 | 2022-04-28 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-22 | 2022-04-04 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-03-28 | Y |
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 | 2021-12-02 | 2022-02-04 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-02 | 2021-12-31 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-24 | 2021-12-20 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Use approved construction type or materials. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-12 | 2021-06-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-23 | 2021-05-28 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-04-23 | 2021-05-28 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-23 | 2021-05-28 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-04-23 | 2021-05-28 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-04-23 | 2021-05-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-23 | 2021-05-28 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-23 | 2021-05-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-23 | 2021-05-28 | N |
Provide activities to meet all resident's needs. | Health | 2021-04-23 | 2021-05-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-23 | 2021-05-28 | 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 | 2021-04-23 | 2021-05-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-23 | 2021-05-28 | N |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-23 | 2021-05-28 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-04-23 | 2021-05-28 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-04-23 | 2021-05-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-23 | 2021-05-28 | N |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-04-23 | 2021-05-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-23 | 2021-05-28 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-04-23 | 2021-05-28 | N |
Provide and implement an infection prevention and control program. | Health | 2021-04-23 | 2021-05-28 | N |
Give residents a notice of rights, rules, services and charges. | Health | 2021-04-23 | 2021-05-28 | Y |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-10 | 2019-10-09 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-01 | 2019-09-19 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-08-01 | 2019-09-19 | 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 | 2019-08-01 | 2019-09-19 | N |
Post nurse staffing information every day. | Health | 2019-08-01 | 2019-09-19 | N |
Honor the resident's right to manage his or her financial affairs. | Health | 2018-05-18 | 2018-08-16 | N |
Assess the resident when there is a significant change in condition | Health | 2018-05-18 | 2018-08-16 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-18 | 2018-08-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-18 | 2018-08-16 | 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 | 2018-05-18 | 2018-08-16 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-05-18 | 2018-08-16 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-18 | 2018-08-16 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-18 | 2018-08-16 | 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 | 2018-05-18 | 2018-08-16 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-18 | 2018-08-16 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-18 | 2018-08-16 | 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 | 2018-05-18 | 2018-08-16 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-18 | 2018-08-16 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-07-05 | 2018-07-16 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-05 | 2018-07-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-05 | 2018-07-16 | N |