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Deficiency Records for Anaheim Terrace Care Center
A list of the most recent deficiencies for Anaheim Terrace Care 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 Anaheim Terrace Care 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-07 | 2024-08-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-08-07 | 2024-08-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-07 | 2024-08-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-07 | 2024-08-14 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-18 | 2024-07-10 | N |
| 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 | 2024-06-13 | 2024-07-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-13 | 2024-07-08 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-13 | 2024-07-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-13 | 2024-07-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-06-13 | 2024-07-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-13 | 2024-07-08 | 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 | 2024-06-13 | 2024-07-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-13 | 2024-07-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-06-13 | 2024-07-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-13 | 2024-07-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-13 | 2024-07-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-13 | 2024-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-13 | 2024-07-08 | 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 | 2024-06-13 | 2024-07-08 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-06-13 | 2024-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-13 | 2024-07-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-06-13 | 2024-07-08 | 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 | 2024-06-13 | 2024-07-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-13 | 2024-07-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-06-13 | 2024-07-08 | 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 | 2024-06-13 | 2024-07-08 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-06-13 | 2024-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-08 | N |
| Dispose of garbage and refuse properly. | Health | 2024-06-13 | 2024-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-13 | 2024-07-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-13 | 2024-07-08 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-06-13 | 2024-07-08 | N |
| Keep all essential equipment working safely. | Health | 2024-06-13 | 2024-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-07-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-13 | 2024-07-08 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-13 | 2024-05-14 | 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 | 2023-11-09 | 2023-11-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-10-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-15 | 2023-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-12 | 2023-08-02 | 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 | 2023-05-31 | 2023-06-09 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-31 | 2023-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-03 | 2022-12-01 | N |
| 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 | 2022-10-07 | 2022-10-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-04-19 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-29 | 2021-09-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-22 | 2021-08-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-22 | 2021-08-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | N |
| Provide activities to meet all resident's needs. | Health | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-22 | 2021-08-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | 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 | 2021-07-22 | 2021-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-22 | 2021-08-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-07-22 | 2021-08-22 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-22 | 2021-08-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-22 | 2021-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-22 | 2021-08-22 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-13 | 2019-12-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-08 | 2019-11-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-08 | 2019-11-08 | 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 | 2019-10-08 | 2019-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-08 | 2019-11-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-08 | 2019-11-08 | 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 | 2019-10-08 | 2019-11-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-08 | 2019-11-08 | 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 | 2019-10-08 | 2019-11-08 | 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 | 2019-10-08 | 2019-11-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-08 | 2019-11-08 | 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 | 2019-10-08 | 2019-11-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-10-08 | 2019-11-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-08 | 2019-11-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-10-08 | 2019-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-08 | 2019-11-08 | N |
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