PACIFIC HEIGHTS TRANSITIONAL CARE CENTER
CMS
Documentation Failure
Inadequate Staffing
Infection Control
Medication Error
Nutrition Care
Penalty
$25,490
Outcome
PACIFIC HEIGHTS TRANSITIONAL CARE CENTER in SAN FRANCISCO, CA was fined $25,490 by CMS following 37 deficiency citations identified during federal surveys.
Details
PACIFIC HEIGHTS TRANSITIONAL CARE CENTER (SAN FRANCISCO, CA) — $25,490 in CMS Fines
Outcome: PACIFIC HEIGHTS TRANSITIONAL CARE CENTER in SAN FRANCISCO, CA was fined $25,490 by CMS following 37 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.
- 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.
- Ensure each resident receives an accurate assessment.
- PASARR screening for Mental disorders or Intellectual Disabilities
- Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
- Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
- Post nurse staffing information every day.
- Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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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