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Deficiency Records for La Sierra Care Center
A list of the most recent deficiencies for La Sierra Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for La Sierra Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-08-23 | 2024-09-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-23 | 2024-09-23 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-08-23 | 2024-09-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-23 | 2024-09-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-23 | 2024-09-23 | N |
| Post nurse staffing information every day. | Health | 2024-08-23 | 2024-09-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-23 | 2024-09-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-23 | 2024-09-23 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-23 | 2024-09-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-23 | 2024-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-23 | 2024-09-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-23 | 2024-09-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-08-23 | 2024-09-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-26 | 2024-09-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-09 | 2023-10-26 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-05 | 2022-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2022-12-23 | N |
| 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. | Health | 2022-09-09 | 2022-10-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-10-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-24 | 2022-10-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2021-04-29 | 2021-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-29 | 2021-06-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-04-29 | 2021-06-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-04-29 | 2021-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-29 | 2021-05-20 | N |
| 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. | Health | 2021-04-29 | 2021-05-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-04 | 2021-05-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-04-29 | 2021-05-11 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2021-04-29 | 2021-05-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-04-29 | 2021-04-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-28 | 2019-05-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-28 | 2019-05-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-03-28 | 2019-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-05-21 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-03-28 | 2019-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-21 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-28 | 2019-05-21 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Develop a communication plan. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-02 | 2019-05-21 | N |
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