All citations for Pacific Villa, Inc

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Make sure that a working call system is available in each resident''s bathroom and bathing area.

Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Respond appropriately to all alleged violations.

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

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.

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Abuse/Facility Not Self Reported - Citation B (HSC 1424)

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

Ensure that residents are fully informed and understand their health status, care and treatments.

Honor the resident''s right to choose his or her attending physician.

Let each resident or the resident''s legal representative access or purchase copies of all the resident''s records.

Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Provide and implement an infection prevention and control program.

Ensure that residents are fully informed and understand their health status, care and treatments.

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Honor the resident''s right to be treated with respect and dignity and to retain and use personal possessions.

Reasonably accommodate the needs and preferences of each resident.

Immediately tell the resident, the resident''s doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Honor the resident''s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.

Assure that each resident’s assessment is updated at least once every 3 months.

PASARR screening for Mental disorders or Intellectual Disabilities

Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason.

Provide care and assistance to perform activities of daily living for any resident who is unable.

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Provide enough food/fluids to maintain a resident''s health.

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.

Provide safe and appropriate respiratory care for a resident when needed.

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

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.

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Have a policy regarding use and storage of foods brought to residents by family and other visitors.

Provide and implement an infection prevention and control program.

Ensure staff are vaccinated for COVID-19

Keep all essential equipment working safely.

Patient Care - Citation A (HSC 1424)

Patient Care - Citation B (HSC 1424)

Patient Care - Citation A (HSC 1424)

Patient Care - Citation A (HSC 1424)

Patient Care - Citation A (HSC 1424)

Other - Citation A (HSC 1424)

Patient Care - Citation A (HSC 1424)

Patient Care - Citation A (HSC 1424)