SilverOcean
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Facilities
Sonoma Post Acute
Citations
All citations for Sonoma Post Acute
54 citations on record from CMS and state agencies, sorted most recent first. Located in Sonoma, CA.
Date
Source
Tag
Severity
Description
Status
2025-11-14
cms
0627
No Actual Harm, Potential More Than Minimal (D)
Ensure the transfer/discharge meets the resident''s needs/preferences and that the resident is prepared for a safe transfer/discharge.
2025-08-01
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2025-08-01
cms
0606
No Actual Harm, Potential More Than Minimal (D)
Not hire anyone with a finding of abuse, neglect, exploitation, or theft.
2025-07-22
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2025-07-18
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2025-05-16
cms
0658
No Actual Harm, Potential More Than Minimal (D)
Ensure services provided by the nursing facility meet professional standards of quality.
2025-03-20
cms
0622
No Actual Harm, Potential More Than Minimal (D)
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
2025-01-30
cms
0576
No Actual Harm, Potential More Than Minimal (E)
Ensure residents have reasonable access to and privacy in their use of communication methods.
2024-06-13
cms
0697
No Actual Harm, Potential More Than Minimal (D)
Provide safe, appropriate pain management for a resident who requires such services.
2023-03-10
cms
0726
No Actual Harm, Potential More Than Minimal (D)
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.
2022-03-30
cms
0756
No Actual Harm, Potential More Than Minimal (E)
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
2022-03-30
cms
0759
No Actual Harm, Potential More Than Minimal (E)
Ensure medication error rates are not 5 percent or greater.
2022-03-30
cms
0760
No Actual Harm, Potential More Than Minimal (E)
Ensure that residents are free from significant medication errors.
2022-03-30
cms
0801
No Actual Harm, Potential More Than Minimal (F)
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.
2022-03-30
cms
0802
No Actual Harm, Potential More Than Minimal (F)
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service.
2022-03-30
cms
0804
No Actual Harm, Potential More Than Minimal (E)
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
2022-03-30
cms
0805
No Actual Harm, Potential More Than Minimal (E)
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.
2022-03-30
cms
0806
No Actual Harm, Potential More Than Minimal (E)
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
2022-03-30
cms
0810
No Actual Harm, Potential More Than Minimal (D)
Provide special eating equipment and utensils for residents who need them and appropriate assistance.
2022-03-30
cms
0812
No Actual Harm, Potential More Than Minimal (E)
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
2022-03-30
cms
0725
No Actual Harm, Potential More Than Minimal (E)
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
2022-03-30
cms
0645
No Actual Harm, Potential More Than Minimal (D)
PASARR screening for Mental disorders or Intellectual Disabilities
2022-03-30
cms
0656
No Actual Harm, Potential More Than Minimal (E)
Develop and implement a complete care plan that meets all the resident''s needs, with timetables and actions that can be measured.
2022-03-30
cms
0658
No Actual Harm, Potential More Than Minimal (E)
Ensure services provided by the nursing facility meet professional standards of quality.
2022-03-30
cms
0679
No Actual Harm, Potential More Than Minimal (F)
Provide activities to meet all resident''s needs.
2022-03-30
cms
0692
No Actual Harm, Potential More Than Minimal (E)
Provide enough food/fluids to maintain a resident''s health.
2022-03-30
cms
0693
No Actual Harm, Potential More Than Minimal (E)
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.
2022-03-30
cms
0695
Immediate Jeopardy (L)
Provide safe and appropriate respiratory care for a resident when needed.
2022-03-30
cms
0726
No Actual Harm, Potential More Than Minimal (E)
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.
2022-03-30
cms
0755
No Actual Harm, Potential More Than Minimal (E)
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
2019-08-16
cms
0655
No Actual Harm, Potential More Than Minimal (D)
Create and put into place a plan for meeting the resident''s most immediate needs within 48 hours of being admitted
2019-08-16
cms
0695
No Actual Harm, Potential More Than Minimal (D)
Provide safe and appropriate respiratory care for a resident when needed.
2019-03-23
state
110015441
No Actual Harm, Potential Minimal (CLASS_B)
Patient Care - Citation B (HSC 1424)
2019-03-08
state
110015499
No Actual Harm, Potential Minimal (CLASS_B)
Financial Occurrence/Fac Not Self Reported - Citation B (HSC 1424)
2018-12-12
state
110015440
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2018-03-16
state
110014173
No Actual Harm, Potential Minimal (CLASS_B)
Patient Rights - Citation B (HSC 1424)
2018-03-16
state
110014174
No Actual Harm, Potential Minimal (CLASS_B)
Patient Rights - Citation B (HSC 1424)
2015-03-21
state
110011503
No Actual Harm, Potential Minimal (CLASS_B)
Patient Care - Citation B (HSC 1424)
2013-01-08
state
110009712
No Actual Harm, Potential Minimal (CLASS_B)
Patient Rights - Citation B (HSC 1424)
2009-06-07
state
110006900
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2009-04-14
state
110006657
No Actual Harm, Potential Minimal (CLASS_B)
Patient Care - Citation B (HSC 1424)
2008-12-25
state
110005784
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2008-12-25
state
110005759
No Actual Harm, Potential Minimal (CLASS_B)
Other - Citation B (HSC 1424)
2008-03-13
state
110005004
No Actual Harm, Potential Minimal (CLASS_B)
Patient Care - Citation B (HSC 1424)
2008-03-09
state
110004810
No Actual Harm, Potential Minimal (CLASS_B)
Patient Care - Citation B (HSC 1424)
2007-07-19
state
110004140
No Actual Harm, Potential Minimal (CLASS_B)
Patient Care - Citation B (HSC 1424)
2007-07-13
state
110004339
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2007-06-25
state
110004060
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2007-05-19
state
110004406
No Actual Harm, Potential Minimal (CLASS_A)
Patient Care - Citation A (HSC 1424)
2006-10-24
state
110003576
No Actual Harm, Potential Minimal (CLASS_B)
Patient Care - Citation B (HSC 1424)
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