Deficiency Records for Sherman Oaks Hospital Snf Dp

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Updated as of March 01, 2024

A list of the most recent deficiencies for Sherman Oaks Hospital Snf Dp. 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?
Keep residents' personal and medical records private and confidential. Health 2023-04-02 2023-06-07 N
Post nurse staffing information every day. Health 2023-04-02 2023-06-07 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 2023-04-06 2023-05-05 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-04-06 2023-05-05 N
Install an approved automatic sprinkler system. Fire Safety 2023-04-06 2023-05-05 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-04-06 2023-05-05 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-04-06 2023-05-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-04-06 2023-05-05 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-04-06 2023-05-05 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-04-06 2023-05-05 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-06 2023-05-05 N
Ensure precautions for handling oxygen cylinders and equipment are correctly followed. Fire Safety 2023-04-06 2023-05-05 N
Provide and implement an infection prevention and control program. Health 2023-04-02 2023-04-28 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 2023-04-02 2023-04-25 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-04-02 2023-04-21 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-04-02 2023-04-14 N
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 2023-04-02 2023-04-14 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-04-02 2023-04-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-02 2023-04-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-10-30 2019-11-29 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 2019-10-30 2019-11-29 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2019-10-30 2019-11-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-10-30 2019-11-29 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 2019-10-30 2019-11-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-10-30 2019-11-29 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 2019-11-15 2019-11-15 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-11-15 2019-11-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-11-10 2018-12-06 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-11-10 2018-12-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-11-10 2018-12-06 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2018-11-10 2018-12-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2018-11-10 2018-12-06 N
Address patient/client population and determine types of services needed. Fire Safety 2018-11-12 2018-12-06 N
Establish methods for sharing information. Fire Safety 2018-11-12 2018-12-06 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2018-11-12 2018-12-06 N
Meet Health Care Facilities Code mechanical requirements. Fire Safety 2018-11-12 2018-12-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-03-20 Not Fixed N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-06 Not Fixed N