Inspection Results » Pacific Heights Transitional Care Center

  1. Health Inspection on February 9, 2018 [1]

    1. Widespread: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2018-04-03)
      • Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. (Corrected 2018-04-03)
    2. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. (Corrected 2018-04-03)
      • Reasonably accommodate the needs and preferences of each resident. (Corrected 2018-04-03)
      • 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. (Corrected 2018-04-03)
      • Keep residents' personal and medical records private and confidential. (Corrected 2018-04-03)
      • 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. (Corrected 2018-04-03)
      • Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. (Corrected 2018-04-03)
      • 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. (Corrected 2018-04-03)
      • 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. (Corrected 2018-04-03)
      • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2018-04-03)
    3. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy
      • Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. (Corrected 2018-04-03)
      • Keep all essential equipment working safely. (Corrected 2018-04-03)
      • Provide and implement an infection prevention and control program. (Corrected 2018-04-03)
      • Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. (Corrected 2018-04-03)
      • Provide safe, appropriate dialysis care/services for a resident who requires such services. (Corrected 2018-04-03)
      • Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted (Corrected 2018-04-03)
      • Have a plan that describes the process for conducting QAPI and QAA activities. (Corrected 2018-04-03)

To be part of the Medicare and Medicaid programs, nursing homes have to meet certain requirements set by Congress. The Centers for Medicare and Medicaid Services (CMS) has entered into an agreement with state governments to do health inspections and fire safety inspections of these nursing homes and investigate complaints about nursing home care. [2]

About The Inspection Process


References

  1. http://www.medicare.gov/NursingHomeCompare/About/Health-Inspections.html
  2. http://www.medicare.gov/NursingHomeCompare/About/Inspection-Results.html