DOUBLE TREE POST ACUTE CARE CENTER
CMS
Documentation Failure
Immediate Jeopardy
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Penalty
$10,842
Outcome
DOUBLE TREE POST ACUTE CARE CENTER in SACRAMENTO, CA was fined $10,842 by CMS following 50 deficiency citations identified during federal surveys.
Details
DOUBLE TREE POST ACUTE CARE CENTER (SACRAMENTO, CA) — $10,842 in CMS Fines
Outcome: DOUBLE TREE POST ACUTE CARE CENTER in SACRAMENTO, CA was fined $10,842 by CMS following 50 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
- Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- 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.
- 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.
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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