CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Peninsula Post-Acute
View the most recent health deficiencies and inspection results for Peninsula Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Peninsula Post-Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-27 | 2026-04-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-27 | 2026-04-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-03-27 | 2026-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-03-27 | 2026-04-20 | 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 | 2026-03-27 | 2026-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-27 | 2026-04-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-03-27 | 2026-04-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-03-27 | 2026-04-07 | 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 | 2026-03-27 | 2026-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-27 | 2026-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2026-03-27 | 2026-04-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2026-03-27 | 2026-04-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-10-18 | 2024-12-10 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-10-18 | 2024-12-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-10-18 | 2024-12-10 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2024-10-18 | 2024-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-18 | 2024-12-10 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-10-18 | 2024-12-10 | 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 | 2024-10-18 | 2024-12-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-10-18 | 2024-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-18 | 2024-12-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-18 | 2024-12-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-10-18 | 2024-12-10 | 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 | 2024-10-18 | 2024-12-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-18 | 2024-12-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-18 | 2024-12-10 | 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 | 2024-10-18 | 2024-12-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-10-18 | 2024-12-10 | 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 | 2024-10-18 | 2024-12-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Develop a communication plan. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Use approved construction type or materials. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-04-29 | 2024-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-27 | 2024-03-22 | 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 | 2024-02-27 | 2024-03-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-18 | 2022-04-08 | 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 | 2022-02-18 | 2022-04-08 | 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 | 2022-02-18 | 2022-04-08 | N |
| Keep all essential equipment working safely. | Health | 2022-02-18 | 2022-04-08 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-02-18 | 2022-04-08 | 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 | 2022-02-18 | 2022-04-08 | 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 | 2022-02-18 | 2022-04-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-18 | 2022-04-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-02-18 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-18 | 2022-04-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-04-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-18 | 2022-04-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-18 | 2022-04-08 | 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 | 2022-02-18 | 2022-04-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-18 | 2022-04-08 | N |
| Use approved construction type or materials. | Fire Safety | 2022-02-18 | 2022-03-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-18 | 2022-03-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-02-18 | 2022-03-14 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-02-18 | 2022-03-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-18 | 2022-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-18 | 2022-03-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-02-18 | 2022-03-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-18 | 2022-03-14 | N |