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Deficiency Records for Escondido Post Acute Rehab
A list of the most recent deficiencies for Escondido Post Acute Rehab. 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 Escondido Post Acute Rehab. 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 | 2024-07-18 | 2024-08-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-08-17 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-09 | 2023-08-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-26 | 2023-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-26 | 2023-07-24 | 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 | 2023-06-26 | 2023-07-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-27 | 2023-04-27 | 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 | 2023-03-27 | 2023-04-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-04 | 2023-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-01-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-03 | 2022-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-02-03 | 2022-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-03 | 2022-03-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-03 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-03 | 2022-03-03 | 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 | 2022-02-03 | 2022-03-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-03 | 2022-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-03-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-02-07 | 2022-02-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-02-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-02-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-07 | 2022-02-23 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-02-07 | 2022-02-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-26 | 2019-10-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-08-28 | 2019-09-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-28 | 2019-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-08-28 | 2019-09-27 | 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 | 2019-08-28 | 2019-09-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-28 | 2019-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-28 | 2019-09-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-28 | 2019-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-28 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-28 | 2019-09-27 | 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 | 2019-08-28 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-28 | 2019-09-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-11-06 | 2018-11-27 | 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 | 2018-11-06 | 2018-11-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-11-06 | 2018-11-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-11-06 | 2018-11-27 | 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 | 2018-08-23 | 2018-09-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-23 | 2018-09-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-08-23 | 2018-09-24 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-08-23 | 2018-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-09-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-23 | 2018-09-24 | N |
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