Federal Nursing-Home Survey Record
WALNUT CREEK SKILLED NURSING & REHABILITATION CENT
Does WALNUT CREEK SKILLED NURSING & REHABILITATION CENT have a federal violation or abuse history?
According to the public federal record on file with the Centers for Medicare & Medicaid Services (CMS), WALNUT CREEK SKILLED NURSING & REHABILITATION CENT (CCN 056327), in WALNUT CREEK, CA, has federal inspection findings on its record.
In its current inspection cycle, CMS cited the facility for 13 deficiencies; the most serious carries scope/severity E on CMS's A–L scale — CMS's "potential for harm" tier, below actual harm. Citations from earlier inspection cycles appear in the dated timeline below as historical findings, not current ones. This page restates the federal record as published by CMS and draws no conclusion of its own. Federal nursing-home surveys are conducted on a recurring cycle by state survey agencies acting on CMS's behalf, and the figures on this page are compiled from CMS's published provider data, as on file with CMS; the federal record may understate what actually occurred, and inspection findings are point-in-time survey results, not a determination that any specific resident was harmed.
The Federal Record
The most recent federal inspection on file records no actual-harm or immediate-jeopardy citations for this facility.
Below is this facility's federal survey record as on file with CMS.
Scope & Severity — current cycle
Overall CMS star rating: this facility vs the CMS-published state average
This facility: 3 · CMS state average: 3.2
Deficiency timeline — full federal history
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
Limit the charges against residents' personal funds for items or services for which payment is made under Medicare or Medicaid.
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.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Ensure each resident must receive and the facility must provide necessary behavioral health care and services.
Provide and implement an infection prevention and control program.
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions.
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.
Provide care and assistance to perform activities of daily living for any resident who is unable.
44 citations from earlier inspection cycles — historical, not current (expand)
Keep residents' personal and medical records private and confidential.
Ensure that residents are free from significant medication errors.
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.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Provide activities to meet all resident's needs.
Provide safe, appropriate pain management for a resident who requires such services.
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
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.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Respond appropriately to all alleged violations.
Develop and implement policies and procedures to prevent abuse, neglect, and theft.
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Ensure each resident’s drug regimen must be free from unnecessary drugs.
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
Have a policy regarding use and storage of foods brought to residents by family and other visitors.
Provide enough food/fluids to maintain a resident's health.
Provide safe, appropriate pain management for a resident who requires such services.
Provide safe and appropriate respiratory care for a resident when needed.
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Provide care and assistance to perform activities of daily living for any resident who is unable.
Provide medically-related social services to help each resident achieve the highest possible quality of life.
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.
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy.
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months.
Assist a resident in gaining access to vision and hearing services.
Provide and implement an infection prevention and control program.
Ensure that residents are fully informed and understand their health status, care and treatments.
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Document what happened
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