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Victoria Post Acute Care

πŸ“ 654 S. Anza, El-cajon, CA 92020 πŸ“ž (619) 440-5005 πŸ›οΈ 120 beds

Inspection History Overview

Detailed Inspection Reports

Notice: These are official CMS inspection narratives containing detailed regulatory findings. This information is not available in searchable format anywhere else online.

July 24, 2024 Complaint Investigation

Fines and Penalties by Year

2022 2 penalties totaling $14,325

$14,325
Aug 5, 2022

Fine

$0
Aug 5, 2022

Payment Denial

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Health Violations by Year

2024 6 violations

Tag 0689 D Aug 30, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Sep 20, 2024
Tag 0600 D Jul 24, 2024

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

βœ“ Corrected: Aug 15, 2024
Tag 0609 D Jul 24, 2024

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

βœ“ Corrected: Aug 15, 2024
Tag 0624 D Apr 17, 2024

Prepare residents for a safe transfer or discharge from the nursing home.

βœ“ Corrected: May 3, 2024
Tag 0880 D Jan 26, 2024

Provide and implement an infection prevention and control program.

Tag 0883 D Jan 26, 2024

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

2023 1 violations

Tag 0600 D Jun 9, 2023

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

βœ“ Corrected: Jul 12, 2023
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2022 20 violations

Tag 0578 D Sep 28, 2022

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.

βœ“ Corrected: Nov 16, 2022
Tag 0580 G Sep 28, 2022

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

βœ“ Corrected: Nov 16, 2022
Tag 0641 D Sep 28, 2022

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Nov 16, 2022
Tag 0656 E Sep 28, 2022

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

βœ“ Corrected: Nov 16, 2022
Tag 0657 D Sep 28, 2022

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

βœ“ Corrected: Nov 16, 2022
Tag 0689 D Sep 28, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Nov 16, 2022
Tag 0692 D Sep 28, 2022

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

βœ“ Corrected: Nov 16, 2022
Tag 0695 D Sep 28, 2022

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

βœ“ Corrected: Nov 16, 2022
Tag 0755 D Sep 28, 2022

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

βœ“ Corrected: Nov 16, 2022
Tag 0758 D Sep 28, 2022

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.

βœ“ Corrected: Nov 16, 2022
Tag 0759 D Sep 28, 2022

Ensure medication error rates are not 5 percent or greater.

βœ“ Corrected: Nov 17, 2022
Tag 0773 D Sep 28, 2022

Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results.

βœ“ Corrected: Nov 16, 2022
Tag 0867 E Sep 28, 2022

Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action.

βœ“ Corrected: Nov 16, 2022
Tag 0880 D Sep 28, 2022

Provide and implement an infection prevention and control program.

βœ“ Corrected: Nov 17, 2022
Tag 0881 D Sep 28, 2022

Implement a program that monitors antibiotic use.

βœ“ Corrected: Nov 16, 2022
Tag 0551 D Aug 5, 2022

Give the resident's representative the ability to exercise the resident's rights.

βœ“ Corrected: Sep 30, 2022
Tag 0580 D Jun 10, 2022

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

βœ“ Corrected: Jul 8, 2022
Tag 0660 D Jun 10, 2022

Plan the resident's discharge to meet the resident's goals and needs.

βœ“ Corrected: Jul 8, 2022
Tag 0842 D Jun 10, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jul 8, 2022
Tag 0657 D Jan 19, 2022

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

βœ“ Corrected: Feb 1, 2022

2021 2 violations

Tag 0580 D Sep 13, 2021

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

βœ“ Corrected: Oct 12, 2021
Tag 0600 D Aug 25, 2021

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

βœ“ Corrected: Sep 25, 2021
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2020 1 violations

Tag 0690 D Mar 3, 2020

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: Mar 31, 2020

2019 6 violations

Tag 0658 D Dec 12, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jan 7, 2020
Tag 0801 D Dec 12, 2019

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.

βœ“ Corrected: Jan 7, 2020
Tag 0802 D Dec 12, 2019

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

βœ“ Corrected: Jan 7, 2020
Tag 0557 D Jul 11, 2019

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

βœ“ Corrected: Jul 24, 2019
Tag 0658 D Jun 19, 2019

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Jul 24, 2019
Tag 0760 D Jun 19, 2019

Ensure that residents are free from significant medication errors.

βœ“ Corrected: Jul 24, 2019
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2018 27 violations

Tag 0550 D Nov 8, 2018

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

βœ“ Corrected: Dec 30, 2018
Tag 0578 D Nov 8, 2018

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.

βœ“ Corrected: Dec 30, 2018
Tag 0636 D Nov 8, 2018

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

βœ“ Corrected: Dec 30, 2018
Tag 0641 D Nov 8, 2018

Ensure each resident receives an accurate assessment.

βœ“ Corrected: Dec 30, 2018
Tag 0657 D Nov 8, 2018

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

βœ“ Corrected: Dec 30, 2018
Tag 0658 D Nov 8, 2018

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Dec 30, 2018
Tag 0679 D Nov 8, 2018

Provide activities to meet all resident's needs.

βœ“ Corrected: Dec 30, 2018
Tag 0684 E Nov 8, 2018

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: Dec 30, 2018
Tag 0686 D Nov 8, 2018

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

βœ“ Corrected: Dec 30, 2018
Tag 0689 D Nov 8, 2018

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Dec 30, 2018
Tag 0698 D Nov 8, 2018

Provide safe, appropriate dialysis care/services for a resident who requires such services.

βœ“ Corrected: Dec 30, 2018
Tag 0726 D Nov 8, 2018

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.

βœ“ Corrected: Dec 30, 2018
Tag 0755 D Nov 8, 2018

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

βœ“ Corrected: Dec 30, 2018
Tag 0756 D Nov 8, 2018

Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.

βœ“ Corrected: Dec 30, 2018
Tag 0758 D Nov 8, 2018

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.

βœ“ Corrected: Dec 30, 2018
Tag 0761 D Nov 8, 2018

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.

βœ“ Corrected: Dec 30, 2018
Tag 0802 E Nov 8, 2018

Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.

βœ“ Corrected: Dec 30, 2018
Tag 0812 E Nov 8, 2018

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

βœ“ Corrected: Dec 30, 2018
Tag 0813 E Nov 8, 2018

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

βœ“ Corrected: Dec 30, 2018
Tag 0838 D Nov 8, 2018

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

βœ“ Corrected: Dec 30, 2018

2017 18 violations

Tag 0221 D Sep 22, 2017

Keep each resident free from physical restraints, unless needed for medical treatment.

βœ“ Corrected: Nov 17, 2017
Tag 0241 D Sep 22, 2017

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

βœ“ Corrected: Nov 17, 2017
Tag 0246 D Sep 22, 2017

Reasonably accommodate the needs and preferences of each resident.

βœ“ Corrected: Nov 17, 2017
Tag 0257 D Sep 22, 2017

Maintain comfortable and safe temperature levels.

βœ“ Corrected: Nov 17, 2017
Tag 0279 D Sep 22, 2017

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

βœ“ Corrected: Nov 17, 2017
Tag 0280 D Sep 22, 2017

Allow residents the right to participate in the planning or revision of care and treatment.

βœ“ Corrected: Nov 17, 2017
Tag 0281 D Sep 22, 2017

Ensure services provided by the nursing facility meet professional standards of quality.

βœ“ Corrected: Nov 17, 2017
Tag 0323 D Sep 22, 2017

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

βœ“ Corrected: Nov 17, 2017
Tag 0329 D Sep 22, 2017

Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being.

βœ“ Corrected: Nov 17, 2017
Tag 0371 E Sep 22, 2017

Store, cook, and serve food in a safe and clean way.

βœ“ Corrected: Nov 17, 2017
Tag 0372 D Sep 22, 2017

Dispose of garbage and refuse properly.

βœ“ Corrected: Nov 17, 2017
Tag 0428 D Sep 22, 2017

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

βœ“ Corrected: Nov 17, 2017
Tag 0431 D Sep 22, 2017

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

βœ“ Corrected: Nov 17, 2017
Tag 0441 E Sep 22, 2017

Have a program that investigates, controls and keeps infection from spreading.

βœ“ Corrected: Nov 17, 2017
Tag 0514 D Sep 22, 2017

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

βœ“ Corrected: Nov 17, 2017
Tag 0520 E Sep 22, 2017

Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.

βœ“ Corrected: Nov 17, 2017
Tag 0225 D Sep 20, 2017

1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

βœ“ Corrected: Nov 1, 2017
Tag 0223 D May 26, 2017

Protect each resident from all abuse, physical punishment, and involuntary separation from others.

βœ“ Corrected: May 31, 2017
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