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 |