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? |
|---|---|---|---|---|
| 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 | 2024-01-11 | 2024-02-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-11 | 2024-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-11 | 2024-02-21 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-01-11 | 2024-02-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-11 | 2024-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-11 | 2024-02-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-11 | 2024-02-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Establish methods for sharing information. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-24 | 2024-02-15 | 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 | 2024-01-24 | 2024-02-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-01-24 | 2024-02-15 | N |
| 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 |
