Facility profile · CCN 056176
Pacific Heights Transitional Care Center
37 federal citations on record , and 1 federal enforcement actions totaling $25,490.
Record summary
Federal record · Q1 202637
Total citations
16
Last 3 years
0
Actual harm+
1
Federal penalties
$25,490
Total fines
5
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
37 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Jan 29, 2025 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Aug 29, 2024 | F880 | Provide and implement an infection prevention and control program. | D | Standard |
| Aug 29, 2024 | F770 | Provide timely, quality laboratory services/tests to meet the needs of residents. | D | Standard |
| Aug 29, 2024 | F757 | Ensure each resident’s drug regimen must be free from unnecessary drugs. | D | Standard |
| Aug 29, 2024 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | E | Standard |
| Aug 29, 2024 | F732 | Post nurse staffing information every day. | C | Standard |
| Aug 29, 2024 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Aug 29, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Aug 29, 2024 | F645 | PASARR screening for Mental disorders or Intellectual Disabilities | D | Standard |
| Aug 29, 2024 | F641 | Ensure each resident receives an accurate assessment. | D | Standard |
| Aug 29, 2024 | F584 | 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. | D | Standard |
| Aug 29, 2024 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | E | Standard |
| Sep 12, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | D | Complaint |
| Jul 20, 2023 | F880 | Provide and implement an infection prevention and control program. | E | — |
| Jul 3, 2023 | F925 | Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | E | Complaint |
| Jun 2, 2023 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Complaint |
| Mar 30, 2023 | F908 | Keep all essential equipment working safely. | D | Complaint |
| Mar 30, 2023 | F558 | Reasonably accommodate the needs and preferences of each resident. | D | Complaint |
| Apr 28, 2021 | F880 | Provide and implement an infection prevention and control program. | E | Standard |
| Apr 28, 2021 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Apr 28, 2021 | F761 | 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. | E | Standard |
| Apr 28, 2021 | F759 | Ensure medication error rates are not 5 percent or greater. | E | Standard |
| Apr 28, 2021 | F758 | 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. | D | Standard |
| Apr 28, 2021 | F756 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | E | Standard |
| Apr 28, 2021 | F755 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | F | Standard |
| Apr 28, 2021 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | E | Standard |
| Feb 6, 2020 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | E | Standard |
| Feb 6, 2020 | F803 | 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. | E | Standard |
| Feb 6, 2020 | F761 | 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. | E | Standard |
| Feb 6, 2020 | F697 | Provide safe, appropriate pain management for a resident who requires such services. | D | Standard |
| Feb 6, 2020 | F688 | 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. | E | Standard |
| Feb 6, 2020 | F687 | Provide appropriate foot care. | D | Standard |
| Feb 6, 2020 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Feb 6, 2020 | F676 | Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | D | Standard |
| Feb 6, 2020 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Feb 6, 2020 | F655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Standard |
| Feb 6, 2020 | F554 | Allow residents to self-administer drugs if determined clinically appropriate. | D | Standard |
Federal enforcement history
Federal regulators have imposed 1 enforcement actions against this facility, including 1 civil money penalties totaling $25,490 .
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Jan 29, 2025 | Fine | $25,490 | — |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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