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Deficiency Records for California Healthcare and Rehabilitation Center
A list of the most recent deficiencies for California Healthcare 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 California Healthcare 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-20 | 2024-09-13 | Y |
| 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 | 2024-08-20 | 2024-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-20 | 2024-09-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-29 | 2024-08-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-29 | 2024-08-22 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-07-29 | 2024-08-22 | 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 | 2024-05-30 | 2024-06-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-30 | 2024-06-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-05-30 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-30 | 2024-06-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-30 | 2024-06-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-30 | 2024-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-30 | 2024-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-30 | 2024-06-21 | 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 | 2024-05-30 | 2024-06-21 | 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 | 2024-05-30 | 2024-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-30 | 2024-06-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-05-30 | 2024-06-21 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-14 | 2024-06-07 | 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 | 2023-10-30 | 2023-11-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-30 | 2023-11-16 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-13 | 2023-07-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-03 | 2023-06-09 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-02 | 2023-05-25 | 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 | 2023-05-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-03 | 2023-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-03 | 2023-04-27 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-06 | 2023-04-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-14 | 2023-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-06 | 2023-02-20 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-01-24 | 2023-02-03 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-03 | 2023-01-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-14 | 2022-12-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-14 | 2022-12-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-22 | 2022-08-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-21 | 2022-08-12 | Y |
| 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 | 2022-07-21 | 2022-08-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-18 | 2022-07-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-11 | 2022-06-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-25 | 2022-06-14 | 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 | 2022-04-26 | 2022-05-16 | Y |
| Post nurse staffing information every day. | Health | 2022-04-26 | 2022-05-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-13 | 2022-04-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-01 | 2022-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-01 | 2022-03-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-03-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-07 | 2022-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-07 | 2022-02-16 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-02-07 | 2022-02-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-07 | 2022-02-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-07 | 2022-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-04 | 2022-01-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-12-15 | 2021-12-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-13 | 2021-12-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-15 | 2021-12-09 | 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 | 2021-11-15 | 2021-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-15 | 2021-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-15 | 2021-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-15 | 2021-12-09 | 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 | 2021-11-15 | 2021-12-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-15 | 2021-12-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-15 | 2021-12-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-15 | 2021-12-09 | 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 | 2021-11-15 | 2021-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2021-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-15 | 2021-11-24 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-17 | 2019-06-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-17 | 2019-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-17 | 2019-06-12 | N |
| 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 | 2019-05-17 | 2019-06-12 | 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 | 2019-05-17 | 2019-06-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-17 | 2019-06-12 | 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 | 2019-05-17 | 2019-06-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-17 | 2019-06-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-17 | 2019-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-17 | 2019-06-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-17 | 2019-06-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-05-09 | 2019-06-01 | 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 | 2019-05-09 | 2019-06-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-09 | 2019-06-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-09 | 2019-06-01 | N |
| Maintain 15 months of resident assessments in the resident's active clinical record. | Health | 2019-05-09 | 2019-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-09 | 2019-06-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-09 | 2019-06-01 | 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 | 2019-05-09 | 2019-06-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-06-01 | 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 | 2019-05-09 | 2019-06-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-09 | 2019-06-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-09 | 2019-06-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-09 | 2019-06-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-09 | 2019-06-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-09 | 2019-06-01 | 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 | 2019-05-09 | 2019-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-09 | 2019-06-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-06-01 | N |
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