CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Seal Beach Health and Rehabilitation Center
A list of the most recent deficiencies for Seal Beach Health 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 Seal Beach Health 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? |
|---|---|---|---|---|
| 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 | 2024-08-21 | 2024-09-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-25 | 2024-07-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-25 | 2024-07-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-21 | 2024-07-05 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-21 | 2024-07-01 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-06-21 | 2024-07-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-05-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-16 | 2024-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-05-17 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-16 | 2024-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-12 | 2024-04-27 | 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 | 2024-02-15 | 2024-03-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-02-23 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-01 | 2024-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-09 | 2024-01-12 | 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 | 2023-11-29 | 2023-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-29 | 2023-12-04 | 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 | 2023-11-29 | 2023-12-04 | Y |
| 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 | 2023-10-30 | 2023-10-31 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-23 | 2023-08-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-23 | 2023-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-08-23 | Y |
| 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 | 2023-08-23 | 2023-08-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-14 | 2023-08-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-14 | 2023-08-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-14 | 2023-08-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-14 | 2023-08-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-14 | 2023-08-17 | Y |
| 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 | 2023-08-14 | 2023-08-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-14 | 2023-08-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-14 | 2023-08-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-14 | 2023-08-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-14 | 2023-08-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-14 | 2023-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-14 | 2023-08-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-14 | 2023-08-02 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-29 | 2023-07-29 | 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 | 2023-06-29 | 2023-07-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-29 | 2023-07-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-29 | 2023-07-29 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-29 | 2023-07-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-29 | 2023-07-29 | 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 | 2023-06-29 | 2023-07-29 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-29 | 2023-07-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-06-29 | 2023-07-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-29 | 2023-07-29 | 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 | 2023-06-29 | 2023-07-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-29 | 2023-07-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-29 | 2023-07-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-29 | 2023-07-29 | N |
| 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 | 2023-06-29 | 2023-07-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-29 | 2023-07-29 | 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 | 2023-06-29 | 2023-07-29 | 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 | 2023-06-29 | 2023-07-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-29 | 2023-07-29 | 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 | 2023-06-29 | 2023-07-29 | 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 | 2023-06-29 | 2023-07-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-07-29 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-29 | 2023-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-07-29 | N |
| Keep all essential equipment working safely. | Health | 2023-06-29 | 2023-07-29 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-29 | 2023-07-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-29 | 2023-07-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-29 | 2023-07-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-29 | 2023-07-29 | Y |
| 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 | 2023-06-29 | 2023-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-07-29 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-29 | 2023-07-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-29 | 2023-07-29 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-06-29 | 2023-07-29 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-06-29 | 2023-07-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-29 | 2023-07-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-29 | 2023-07-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-23 | 2023-07-24 | 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 | 2023-06-23 | 2023-07-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-13 | 2023-07-13 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-06-28 | 2023-07-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-28 | 2023-07-13 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-28 | 2023-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-28 | 2023-07-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-28 | 2023-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-28 | 2023-07-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-28 | 2023-07-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-15 | 2023-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-06-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-02 | 2023-06-01 | Y |
| 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 | 2023-05-02 | 2023-06-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-02 | 2023-06-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-28 | 2023-05-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-28 | 2023-05-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-21 | 2023-05-22 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-19 | 2023-05-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-19 | 2023-05-19 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-12 | 2023-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-12 | 2023-05-13 | Y |
| 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 | 2023-04-11 | 2023-05-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-11 | 2023-05-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-10 | 2023-05-11 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-10 | 2023-05-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-10 | 2023-05-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-02 | 2023-03-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-02 | 2023-03-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-02-26 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-28 | 2023-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-28 | 2023-01-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-28 | 2023-01-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-28 | 2023-01-28 | Y |
| 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 | 2022-12-28 | 2023-01-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-28 | 2023-01-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2022-12-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-01 | 2022-12-29 | 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 | 2022-12-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-09 | 2022-12-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-11-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-09 | 2022-10-09 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-08 | 2022-10-08 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-09-08 | 2022-10-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-07 | 2022-10-07 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-08-23 | 2022-09-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-19 | 2022-09-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-09 | 2022-09-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-14 | 2022-08-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-08-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-07 | 2022-08-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-22 | 2022-08-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-28 | 2022-07-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-28 | 2022-07-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-16 | 2022-07-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-15 | 2022-07-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-31 | 2022-06-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-27 | 2022-06-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-26 | 2022-06-24 | Y |
| Keep all essential equipment working safely. | Health | 2022-05-26 | 2022-06-24 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-25 | 2022-06-24 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-23 | 2022-06-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-14 | 2022-05-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-01 | 2022-05-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-03 | 2022-04-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-24 | 2022-03-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-17 | 2022-03-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-15 | 2022-03-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-15 | 2022-03-16 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-01-21 | 2022-02-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-15 | 2022-01-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2022-01-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-08 | 2022-01-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2022-01-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2021-12-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-10 | 2021-12-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-08 | 2021-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-08 | 2021-12-08 | Y |
| 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 | 2021-11-08 | 2021-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-22 | 2021-11-21 | Y |
| 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 | 2021-10-22 | 2021-11-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-22 | 2021-11-21 | Y |
| 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 | 2021-10-22 | 2021-11-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-22 | 2021-11-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-15 | 2021-11-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-15 | 2021-11-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-10-08 | 2021-11-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-08 | 2021-11-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-11-06 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-11 | 2021-06-24 | 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 | 2021-05-11 | 2021-06-24 | 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 | 2021-05-11 | 2021-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-05-11 | 2021-06-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-12 | 2021-06-12 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-12 | 2021-06-12 | 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 | 2021-05-12 | 2021-06-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-12 | 2021-06-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-12 | 2021-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-12 | 2021-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-12 | 2021-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-12 | 2021-06-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-12 | 2021-06-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-12 | 2021-06-12 | N |
| 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 | 2021-05-12 | 2021-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-12 | 2021-06-12 | 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 | 2021-05-12 | 2021-06-12 | 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 | 2021-05-12 | 2021-06-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-12 | 2021-06-12 | N |
| Dispose of garbage and refuse properly. | Health | 2021-05-12 | 2021-06-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-12 | 2021-06-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-05-12 | 2021-06-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-01 | 2019-10-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-26 | 2019-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-26 | 2019-09-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-26 | 2019-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | 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 | 2019-08-26 | 2019-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-08-26 | 2019-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-26 | 2019-09-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-26 | 2019-09-25 | N |
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