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Deficiency Records for Sherman Oaks Hospital Snf Dp
View the most recent health deficiencies and inspection results for Sherman Oaks Hospital Snf Dp. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Sherman Oaks Hospital Snf Dp. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-04-13 | 2025-05-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-04-13 | 2025-05-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-13 | 2025-05-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-13 | 2025-05-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-04-13 | 2025-05-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-04-13 | 2025-05-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-13 | 2025-05-12 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-04-13 | 2025-05-12 | 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 | 2025-04-13 | 2025-05-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-13 | 2025-05-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-13 | 2025-05-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-13 | 2025-05-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-13 | 2025-05-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-04-13 | 2025-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-13 | 2025-04-15 | 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 | 2024-04-18 | 2024-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-18 | 2024-05-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-18 | 2024-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-18 | 2024-05-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-04-18 | 2024-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-18 | 2024-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-18 | 2024-05-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-04-18 | 2024-05-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-18 | 2024-05-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-18 | 2024-05-15 | 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 | 2024-04-18 | 2024-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-18 | 2024-05-15 | N |
| 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 | 2024-04-18 | 2024-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-18 | 2024-05-15 | N |
| Keep all essential equipment working safely. | Health | 2024-04-18 | 2024-05-15 | N |
| 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 |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-02 | 2023-05-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-02 | 2023-05-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-04-02 | 2023-05-05 | 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 | 2023-04-02 | 2023-05-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-02 | 2023-05-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-04-02 | 2023-05-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-02 | 2023-05-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-02 | 2023-05-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-02 | 2023-05-05 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-04-02 | 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 |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-02 | 2023-04-02 | N |