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Deficiency Records for Desert Canyon Post Acute, LLC
A list of the most recent deficiencies for Desert Canyon Post Acute, LLC. 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 Desert Canyon Post Acute, LLC. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-16 | 2024-10-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-16 | 2024-10-04 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-23 | 2024-09-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-01 | 2024-08-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-08-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-01 | 2024-08-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-03 | 2024-07-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-20 | 2024-07-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-13 | 2024-06-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-13 | 2024-06-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-10 | 2024-04-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-13 | 2024-03-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-07 | 2024-02-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-02-07 | 2024-02-29 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-17 | 2024-02-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-17 | 2024-02-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-16 | 2023-12-23 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-16 | 2023-12-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-16 | 2023-12-23 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-11-16 | 2023-12-23 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-11-16 | 2023-12-23 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-11-16 | 2023-12-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-16 | 2023-12-23 | 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 | 2023-11-16 | 2023-12-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-16 | 2023-12-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-11-16 | 2023-12-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-16 | 2023-12-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-16 | 2023-12-23 | 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 | 2023-11-16 | 2023-12-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-16 | 2023-12-23 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-11-16 | 2023-12-23 | N |
| Post nurse staffing information every day. | Health | 2023-11-16 | 2023-12-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-16 | 2023-12-23 | 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 | 2023-11-16 | 2023-12-23 | N |
| 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. | Health | 2023-11-16 | 2023-12-23 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-16 | 2023-12-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-16 | 2023-12-23 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-16 | 2023-12-23 | 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 | 2023-11-16 | 2023-12-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-16 | 2023-12-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-12-23 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-11-16 | 2023-12-23 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-11-16 | 2023-12-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-15 | 2023-12-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-17 | 2023-09-16 | Y |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2023-08-17 | 2023-09-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-15 | 2023-09-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-15 | 2023-09-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-20 | 2023-08-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-11 | 2023-05-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-11 | 2023-05-12 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-04-11 | 2023-05-12 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-03-31 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-29 | 2023-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-02 | 2023-01-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-06 | 2022-12-31 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-11-23 | 2022-12-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-23 | 2022-12-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-11-23 | 2022-12-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-23 | 2022-12-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-23 | 2022-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-23 | 2022-12-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-11-23 | 2022-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-23 | 2022-12-31 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-11-23 | 2022-12-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-23 | 2022-12-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-23 | 2022-12-31 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-11-23 | 2022-12-31 | 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 | 2022-11-23 | 2022-12-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-23 | 2022-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-23 | 2022-12-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-11-23 | 2022-12-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-30 | 2022-11-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-27 | 2022-11-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-06 | 2022-10-25 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2022-10-02 | 2022-10-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-10-02 | 2022-10-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-02 | 2022-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-27 | 2022-08-25 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-24 | 2022-07-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-15 | 2022-06-14 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-15 | 2022-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-15 | 2022-06-14 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-08 | 2022-04-18 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-11 | 2022-04-17 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-08 | 2022-02-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-08 | 2022-02-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-23 | 2022-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-22 | 2021-12-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-22 | 2021-12-03 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2019-06-15 | 2019-07-10 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-06-15 | 2019-07-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-15 | 2019-07-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-15 | 2019-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-15 | 2019-07-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-15 | 2019-07-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-15 | 2019-07-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-15 | 2019-07-10 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-06-15 | 2019-07-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-15 | 2019-07-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-06-15 | 2019-07-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-15 | 2019-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-15 | 2019-07-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-15 | 2019-07-10 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-13 | 2019-07-10 | N |
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