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Deficiency Records for Encinitas Nursing and Rehabilitation Center
A list of the most recent deficiencies for Encinitas Nursing and Rehabilitation 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 Encinitas Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-29 | 2024-06-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-25 | 2024-05-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-04-15 | 2024-04-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-21 | 2024-03-01 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-17 | 2023-09-17 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-17 | 2023-09-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-17 | 2023-09-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-09-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-17 | 2023-09-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-17 | 2023-09-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-17 | 2023-09-17 | 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 | 2023-08-17 | 2023-09-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-17 | 2023-09-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-17 | 2023-09-17 | 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 | 2023-08-17 | 2023-09-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-17 | 2023-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-17 | 2023-09-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-21 | 2023-09-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-06 | 2023-06-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-05-10 | Y |
| 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 | 2023-04-20 | 2023-05-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-02 | 2022-12-19 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-03 | 2022-11-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-30 | 2022-10-30 | 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 | 2022-09-15 | 2022-10-15 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-09-15 | 2022-10-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-01 | 2021-12-30 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-10-05 | 2021-11-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-01 | 2021-10-31 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-14 | 2019-12-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-14 | 2019-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-14 | 2019-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-24 | 2019-11-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-24 | 2019-11-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-24 | 2019-11-24 | 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 | 2019-10-24 | 2019-11-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-24 | 2019-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-24 | 2019-11-24 | 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 | 2018-12-12 | 2019-01-03 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2018-12-12 | 2019-01-03 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2018-12-12 | 2019-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-12 | 2019-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-12 | 2019-01-03 | 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 | 2018-10-19 | 2018-11-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-10-19 | 2018-11-29 | 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 | 2018-10-19 | 2018-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-19 | 2018-11-29 | 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 | 2018-10-19 | 2018-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-19 | 2018-11-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-19 | 2018-11-29 | N |
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