A list of the most recent deficiencies for Channel Islands Post Acute. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-07 | 2023-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-22 | 2023-08-18 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-12-15 | 2022-12-28 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-02 | 2022-03-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-07 | 2021-06-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-06-07 | 2021-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-07 | 2021-06-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-27 | 2021-06-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-27 | 2021-06-22 | 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 | 2021-05-27 | 2021-06-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-27 | 2021-06-22 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-01 | 2019-05-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-01 | 2019-05-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-01 | 2019-05-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-01 | 2019-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-01 | 2019-05-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-01 | 2019-05-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-28 | 2019-04-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-03-28 | 2019-04-29 | 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 | 2019-03-28 | 2019-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-28 | 2019-04-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-03-28 | 2019-04-29 | 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 | 2019-03-28 | 2019-04-29 | N |
| Post nurse staffing information every day. | Health | 2019-03-28 | 2019-04-29 | 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 | 2019-03-28 | 2019-04-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-04-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-28 | 2019-04-29 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Develop a communication plan. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Use approved construction type or materials. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-28 | 2018-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-28 | 2018-04-27 | 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 | 2018-03-06 | 2018-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-06 | 2018-04-07 | N |
| Dispose of garbage and refuse properly. | Health | 2018-03-06 | 2018-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-06 | 2018-04-07 | N |
