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Deficiency Records for Downey Post Acute

A list of the most recent deficiencies for Downey Post Acute. 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 Downey Post Acute. 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-18 2024-06-30 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-05-15 2024-05-29 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-05-07 2024-05-20 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-03-21 2024-04-12 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 2024-03-21 2024-04-12 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-03-21 2024-04-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-03-21 2024-04-12 N
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. Health 2024-03-21 2024-04-12 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-03-21 2024-04-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-21 2024-04-12 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-03-21 2024-04-12 N
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2024-03-21 2024-04-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-03-21 2024-04-12 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 2024-03-21 2024-04-12 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 2024-03-21 2024-04-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-21 2024-04-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-21 2024-04-12 N
Provide and implement an infection prevention and control program. Health 2024-03-21 2024-04-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-03-21 2024-04-12 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-03-21 2024-04-12 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-03-28 2024-03-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-01-24 2024-02-16 Y
Provide and implement an infection prevention and control program. Health 2023-12-15 2023-12-29 Y
Provide and implement an infection prevention and control program. Health 2023-09-28 2023-10-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-21 2023-09-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-06-15 2023-07-15 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-22 2023-04-01 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-22 2023-04-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-02-01 2023-02-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-26 2022-10-07 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-09-26 2022-10-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-09 2022-09-21 Y
Provide and implement an infection prevention and control program. Health 2022-08-16 2022-09-10 Y
Perform COVID19 testing on residents and staff. Health 2022-07-13 2022-08-19 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-06-28 2022-07-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-12 2021-10-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-04 2021-07-20 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-06-04 2021-07-20 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-06-04 2021-07-20 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-04 2021-07-20 N
Provide enough food/fluids to maintain a resident's health. Health 2021-06-04 2021-07-20 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 2021-06-04 2021-07-20 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2021-06-04 2021-07-20 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-06-04 2021-07-20 N
Provide routine and 24-hour emergency dental care for each resident. Health 2021-06-04 2021-07-20 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2021-06-04 2021-07-20 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2021-06-04 2021-07-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-06-04 2021-07-20 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-06-04 2021-07-20 N
Provide and implement an infection prevention and control program. Health 2021-06-04 2021-07-20 N
Implement a program that monitors antibiotic use. Health 2021-06-04 2021-07-20 N
Construct fire resistant interior walls. Fire Safety 2021-06-18 2021-07-13 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2021-06-18 2021-07-13 N
Have proper medical gas storage and administration areas. Fire Safety 2021-06-18 2021-07-13 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-04-28 2019-06-06 N
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 2019-04-28 2019-06-06 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 2019-04-28 2019-06-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-04-28 2019-06-06 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 2019-04-28 2019-06-06 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-04-28 2019-06-06 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 2019-04-28 2019-06-06 N
Post nurse staffing information every day. Health 2019-04-28 2019-06-06 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2019-04-28 2019-06-06 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 2019-04-28 2019-06-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-04-28 2019-06-06 N
Provide or get specialized rehabilitative services as required for a resident. Health 2019-04-28 2019-06-06 N
Provide and implement an infection prevention and control program. Health 2019-04-28 2019-06-06 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2019-04-27 2019-06-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-27 2019-06-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-27 2019-06-03 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2019-04-27 2019-06-03 N
Have proper medical gas storage and administration areas. Fire Safety 2019-04-27 2019-06-03 N

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