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Deficiency Records for Imperial Healthcare Center
A list of the most recent deficiencies for Imperial Healthcare 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 Imperial Healthcare 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-07-16 | 2024-07-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-31 | 2024-06-27 | Y |
| Develop a communication plan. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-24 | 2024-06-24 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-16 | 2024-06-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-05-16 | 2024-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-16 | 2024-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-16 | 2024-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-16 | 2024-06-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-16 | 2024-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-16 | 2024-06-15 | N |
| Provide enough space and equipment to meet each resident's needs | Health | 2024-05-16 | 2024-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-01 | 2024-04-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-04 | 2024-02-04 | 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 | 2024-01-04 | 2024-02-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-04 | 2024-02-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-28 | 2023-10-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-02-02 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-15 | 2023-02-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-11 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-17 | 2022-04-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-17 | 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 | 2022-03-17 | 2022-04-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-17 | 2022-04-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-25 | 2022-04-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-03-25 | 2022-04-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-24 | 2021-12-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-12 | 2021-12-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-12 | 2021-12-03 | 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 | 2021-11-12 | 2021-12-03 | 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 | 2021-11-12 | 2021-12-03 | 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 | 2020-03-02 | 2020-04-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-02 | 2020-04-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-02 | 2020-04-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-02 | 2020-04-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-02 | 2020-04-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
| Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
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