VINEYARD POST ACUTE
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Resident Neglect
Penalty
$63,135
Outcome
VINEYARD POST ACUTE in PETALUMA, CA was fined $63,135 by CMS across 3 separate penalties following 48 deficiency citations identified during federal surveys.
Details
VINEYARD POST ACUTE (PETALUMA, CA) — $63,135 in CMS Fines
Outcome: VINEYARD POST ACUTE in PETALUMA, CA was fined $63,135 by CMS across 3 separate penalties following 48 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure services provided by the nursing facility meet professional standards of quality.
- 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.
- Notify the appropriate authorities when residents with MD or ID services has a significant change in condition.
- Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
- Ensure medication error rates are not 5 percent or greater.
- Ensure that residents are free from significant medication errors.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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