Fire Safety Inspection & Emergency Preparedness Summary
The Pavilion at Ocean Point
3202 Duke Street
San Diego, CA 92110
(619) 224-4141
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| Deficiency Category | Inspection Date: 10/29/24 Complaint Reporting Period: 3/1/24 - 2/28/25 | Inspection Date: 10/31/23 Complaint Reporting Period: 3/1/23 - 2/29/24 | Inspection Date: 10/18/22 Complaint Reporting Period: 3/1/22 - 2/28/23 |
|---|---|---|---|
| Emergency Preparedness Deficiencies | |||
| Automatic Sprinkler Systems Deficiencies | |||
| Building Construction Deficiencies | |||
| Services Deficiencies | |||
| Corridor Walls and Doors Deficiencies | |||
| Egress Deficiencies | |||
| Electrical Deficiencies | |||
| Emergency Plans and Fire Drills Deficiencies | |||
| Fire Alarm Systems Deficiencies | |||
| Smoke Deficiencies | |||
| Interior Finish Deficiencies | |||
| Gas, Vacuum, and Electrical Systems Deficiencies | |||
| Hazardous Area Deficiencies | |||
| Illumination and Emergency Power Deficiencies | |||
| Laboratories Deficiencies | |||
| Medical Gases and Anesthetizing Areas Deficiencies | |||
| Smoking Regulations Deficiencies | |||
| Miscellaneous Deficiencies |
Detailed result for inspection on 10/29/24
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in California: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Implement emergency and standby power systems. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Conduct testing and exercise requirements. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Few |
Have properly located and lighted "Exit" signs. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Properly provide smoke detection systems in areas open to corridors. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Inspect, test, and maintain automatic sprinkler systems. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Provide properly protected cooking facilities. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Few |
Install corridor and hallway doors that block smoke. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Some |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Meet requirements for the use of electrical equipment. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Few |
Ensure proper usage of power strips and extension cords. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Some |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Ensure that testing and maintenance of electrical equipment is performed. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Have generator or other power source capable of supplying service within 10 seconds. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Have proper medical gas storage and administration areas. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Some |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have simulated fire drills held at unexpected times. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Many |
Have restrictions on the use of highly flammable decorations. | 10/29/24 | 11/26/24 | 2 - Minimal harm or potential for actual harm | Few |
Detailed result for inspection on 10/31/23
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in California: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| No Emergency Preparedness Deficiencies were found during this inspection period. |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Use approved construction type or materials. | 10/31/23 | 11/17/23 | 2 - Minimal harm or potential for actual harm | Few |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | 10/31/23 | 11/17/23 | 2 - Minimal harm or potential for actual harm | Few |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| No Egress Deficiencies were found during this inspection period. |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have approved installation, maintenance and testing program for fire alarm systems. | 10/31/23 | 11/17/23 | 2 - Minimal harm or potential for actual harm | Few |
Properly select, install, inspect, or maintain portable fire extinguishes. | 10/31/23 | 11/17/23 | 2 - Minimal harm or potential for actual harm | Few |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have generator or other power source capable of supplying service within 10 seconds. | 10/31/23 | 11/17/23 | 2 - Minimal harm or potential for actual harm | Few |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | 10/31/23 | 11/17/23 | 2 - Minimal harm or potential for actual harm | Few |
Detailed result for inspection on 10/18/22
| Total number of Fire Safety & Emergency Preparedness Deficiencies for this nursing home: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in California: | |
| Average number of Fire Safety & Emergency Preparedness Deficiencies in the United States: |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Implement emergency and standby power systems. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Many |
| No Automatic Sprinkler Systems Deficiencies were found during this inspection period. |
| No Building Construction Deficiencies were found during this inspection period. |
| No Services Deficiencies were found during this inspection period. |
| No Corridor Walls and Doors Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Install emergency lighting that can last at least 1 1/2 hours. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
Meet other general requirements that are deficient. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
| No Electrical Deficiencies were found during this inspection period. |
| No Emergency Plans and Fire Drills Deficiencies were found during this inspection period. |
| No Fire Alarm Systems Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Install corridor and hallway doors that block smoke. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
Inspect, test, and maintain automatic sprinkler systems. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
Properly provide smoke detection systems in areas open to corridors. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Many |
Have approved installation, maintenance and testing program for fire alarm systems. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Many |
Provide properly protected cooking facilities. | 10/18/22 | 11/14/22 | 1 - Potential for minimal harm | Many |
| No Interior Finish Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Meet requirements for the use of electrical equipment. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
Have generator or other power source capable of supplying service within 10 seconds. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Many |
| No Hazardous Area Deficiencies were found during this inspection period. |
| No Illumination and Emergency Power Deficiencies were found during this inspection period. |
| No Laboratories Deficiencies were found during this inspection period. |
| No Medical Gases and Anesthetizing Areas Deficiencies were found during this inspection period. |
| No Smoking Regulations Deficiencies were found during this inspection period. |
| Inspectors determined that the nursing home failed to: | Inspection Date | Date of Correction | Level of Harm (Least to most) | Residents Affected (Few, Some, Many) |
|---|---|---|---|---|
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
Provide a written emergency evacuation plan. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
Have simulated fire drills held at unexpected times. | 10/18/22 | 11/14/22 | 2 - Minimal harm or potential for actual harm | Few |
| This nursing home has not been cited for any deficiencies from incidents reported by the nursing home or complaints in the last 3 years. |