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Deficiency Records for Rio Hondo Subacute and Nursing Center
A list of the most recent deficiencies for Rio Hondo Subacute and Nursing 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 Rio Hondo Subacute and Nursing 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-02 | 2024-08-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-02 | 2024-08-23 | 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 | 2024-08-02 | 2024-08-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-02 | 2024-08-23 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-08-02 | 2024-08-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-02 | 2024-08-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-07-26 | 2024-08-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-26 | 2024-08-21 | Y |
| 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 | 2024-07-26 | 2024-08-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-26 | 2024-08-21 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-20 | 2024-08-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-02 | 2024-07-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-07-10 | 2024-07-12 | 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 | 2024-06-14 | 2024-07-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-14 | 2024-07-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-14 | 2024-07-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-14 | 2024-07-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-25 | 2024-06-25 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-05-03 | 2024-05-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-30 | 2024-04-26 | 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 | 2024-03-30 | 2024-04-26 | 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 | 2024-03-30 | 2024-04-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-30 | 2024-04-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-30 | 2024-04-26 | 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 | 2024-03-30 | 2024-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-30 | 2024-04-26 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-03-30 | 2024-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-30 | 2024-04-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-03-30 | 2024-04-26 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-03-30 | 2024-04-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-30 | 2024-04-26 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-30 | 2024-04-26 | Y |
| Post nurse staffing information every day. | Health | 2024-04-18 | 2024-04-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-18 | 2024-04-18 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-04-02 | 2024-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-02 | 2024-04-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-14 | 2024-03-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-14 | 2024-03-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-03-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-16 | 2024-03-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-16 | 2024-03-05 | Y |
| 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 | 2024-02-16 | 2024-03-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-19 | 2024-02-12 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-19 | 2024-02-12 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-19 | 2024-02-12 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2024-01-19 | 2024-02-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2024-01-12 | 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 | 2023-12-22 | 2024-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-22 | 2024-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-22 | 2024-01-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2024-01-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-22 | 2023-12-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-25 | 2023-11-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-13 | 2023-11-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-11 | 2023-11-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-02 | 2023-10-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-02 | 2023-10-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-28 | 2023-10-23 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-09-12 | 2023-10-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-12 | 2023-10-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-09 | 2023-10-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-09 | 2023-10-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-09 | 2023-10-06 | 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 | 2023-09-09 | 2023-10-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-09 | 2023-10-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-09 | 2023-10-06 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-09-09 | 2023-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-18 | 2023-08-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-07 | 2023-08-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-22 | 2023-07-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-09 | 2023-07-06 | 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 | 2023-05-11 | 2023-06-06 | 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 | 2023-05-11 | 2023-06-06 | 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 | 2023-05-30 | 2023-05-30 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-22 | 2023-04-27 | 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 | 2023-03-22 | 2023-04-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-03-22 | 2023-04-27 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-06 | 2023-04-15 | 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 | 2023-04-02 | 2023-04-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-16 | 2023-04-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-03-16 | 2023-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-16 | 2023-04-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-16 | 2023-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-16 | 2023-04-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-16 | 2023-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-16 | 2023-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-16 | 2023-04-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-03-16 | 2023-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-16 | 2023-04-15 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-16 | 2023-04-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-16 | 2023-04-15 | 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 | 2023-03-16 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-03-16 | 2023-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-16 | 2023-04-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-31 | 2023-02-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-20 | 2023-02-17 | 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 | 2023-01-19 | 2023-02-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-01-19 | 2023-02-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-17 | 2023-02-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-04 | 2023-01-27 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-04 | 2022-10-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-27 | 2022-10-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-13 | 2022-09-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-08 | 2022-08-08 | 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 | 2022-06-06 | 2022-06-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-06 | 2022-06-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-26 | 2022-04-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-03 | 2022-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-17 | 2022-04-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-14 | 2022-03-16 | 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 | 2022-01-26 | 2022-03-02 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-07 | 2022-02-16 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-12-30 | 2022-01-30 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-02-06 | 2020-03-03 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-06 | 2020-03-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-06 | 2020-03-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-06 | 2020-03-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-06 | 2020-03-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | 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 | 2020-02-06 | 2020-03-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-06 | 2020-03-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-06 | 2020-03-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-04 | 2020-03-02 | 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 | 2020-02-04 | 2020-03-02 | N |
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