Inspection Results » San Fernando Post Acute Hospital

Health Inspection on January 14, 2019 ^[1]

1. Pattern: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • 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. (Corrected 2019-02-14)
   • Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. (Corrected 2019-02-14)
   • Provide activities to meet all resident's needs. (Corrected 2019-02-14)
   • Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. (Corrected 2019-02-14)
   • Implement a program that monitors antibiotic use. (Corrected 2019-02-14)
   • Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. (Corrected 2019-02-14)

2. Isolated: No actual harm with potential for more than minimal harm that is not immediate jeopardy

   • Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. (Corrected 2019-02-14)
   • Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. (Corrected 2019-02-14)
   • Provide safe and appropriate respiratory care for a resident when needed. (Corrected 2019-02-14)
   • Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. (Corrected 2019-02-14)
   • Ensure each resident receives an accurate assessment. (Corrected 2019-02-14)
   • Provide and implement an infection prevention and control program. (Corrected 2019-02-14)
   • Provide care and assistance to perform activities of daily living for any resident who is unable. (Corrected 2019-02-14)
   • Ensure services provided by the nursing facility meet professional standards of quality. (Corrected 2019-02-14)
   • Post nurse staffing information every day. (Corrected 2019-02-14)
   • Reasonably accommodate the needs and preferences of each resident. (Corrected 2019-02-14)