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Deficiency Records for Life Care Center of Pueblo
A list of the most recent deficiencies for Life Care Center of Pueblo. 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 Life Care Center of Pueblo. 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 | 2024-08-28 | 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 | 2024-08-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-07 | 2024-08-27 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-07 | 2024-08-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-07 | 2024-08-27 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-05 | 2024-07-07 | N |
| Meet other general requirements. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-05 | 2024-07-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-05 | 2024-06-25 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-09 | 2024-06-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-05 | 2024-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-05 | 2024-06-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-05 | 2024-06-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-05 | 2024-06-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-09 | 2024-05-31 | 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 | 2024-05-09 | 2024-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-09 | 2024-05-31 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-11-24 | 2021-12-17 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-12 | 2020-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-12 | 2020-02-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-12 | 2020-02-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-30 | 2020-02-24 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-01-30 | 2020-02-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-01-30 | 2020-02-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-30 | 2020-02-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-30 | 2020-02-24 | 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 | 2020-01-30 | 2020-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-30 | 2020-02-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-30 | 2020-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-30 | 2020-02-24 | 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 | 2020-01-30 | 2020-02-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-01-30 | 2020-02-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-30 | 2020-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-12 | 2020-02-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-12 | 2020-02-22 | 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 | 2020-02-12 | 2020-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-12 | 2020-02-21 | 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 | 2020-02-12 | 2020-02-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-12 | 2020-02-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-05 | 2019-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-05 | 2019-03-08 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-01-10 | 2019-02-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-10 | 2019-02-08 | 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 | 2019-01-10 | 2019-02-08 | 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 | 2019-01-10 | 2019-02-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-10 | 2019-02-08 | 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 | 2019-01-10 | 2019-02-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-10 | 2019-02-08 | 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 | 2019-01-10 | 2019-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-08 | N |
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