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Deficiency Records for Glendale Post Acute Center
A list of the most recent deficiencies for Glendale Post Acute 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 Glendale Post Acute 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-07-30 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-06-18 | 2024-07-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-05 | 2024-07-01 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-05-15 | 2024-06-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-15 | 2024-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-15 | 2024-06-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-29 | 2024-05-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-29 | 2024-05-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-29 | 2024-05-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-02 | 2024-04-26 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-03-28 | 2024-04-24 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-03-28 | 2024-04-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-21 | 2024-03-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-21 | 2023-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-01 | 2023-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-01 | 2023-12-01 | 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 | 2023-10-19 | 2023-11-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-19 | 2023-11-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-19 | 2023-11-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-19 | 2023-11-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-19 | 2023-11-17 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-10-19 | 2023-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-19 | 2023-11-17 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-19 | 2023-11-17 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-10-19 | 2023-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-19 | 2023-11-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-10-19 | 2023-11-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-19 | 2023-11-17 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-08-10 | 2023-08-31 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-10 | 2023-08-31 | Y |
| 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 | 2023-06-21 | 2023-07-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-13 | 2022-11-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-13 | 2022-11-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-12 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-13 | 2022-11-12 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-10-13 | 2022-11-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-13 | 2022-11-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-09-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-13 | 2022-09-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-26 | 2022-08-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-08-05 | 2022-08-15 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-08-04 | 2022-08-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-19 | 2022-06-22 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-19 | 2022-06-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-28 | 2022-02-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-15 | 2021-11-01 | Y |
| 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 | 2021-10-15 | 2021-11-01 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-01 | 2019-06-24 | 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 | 2019-05-01 | 2019-06-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-01 | 2019-06-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-05-03 | 2019-06-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-05-03 | 2019-06-18 | 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 | 2019-05-03 | 2019-06-18 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-05-03 | 2019-06-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-03 | 2019-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-03 | 2019-06-18 | 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 | 2019-05-03 | 2019-06-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-03 | 2019-06-18 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-03 | 2019-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-03 | 2019-06-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-03 | 2019-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-03 | 2019-06-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-03 | 2019-06-18 | N |
| Post nurse staffing information every day. | Health | 2019-05-03 | 2019-06-18 | 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 | 2019-05-03 | 2019-06-18 | 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 | 2019-05-03 | 2019-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-03 | 2019-06-18 | N |
| Provide enough space and equipment to meet each resident's needs | Health | 2019-05-03 | 2019-06-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-05-03 | 2019-06-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-23 | 2018-06-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-10 | 2018-06-04 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-05-10 | 2018-06-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-10 | 2018-06-04 | 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 | 2018-05-10 | 2018-06-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-10 | 2018-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-10 | 2018-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-10 | 2018-06-04 | 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 | 2018-05-10 | 2018-06-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-10 | 2018-06-04 | 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 | 2018-05-10 | 2018-06-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-10 | 2018-06-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-05-10 | 2018-06-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-10 | 2018-06-04 | 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 | 2018-05-10 | 2018-06-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-10 | 2018-06-04 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-05-10 | 2018-06-04 | N |
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