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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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