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Deficiency Records for Palolo Chinese Home
A list of the most recent deficiencies for Palolo Chinese Home. 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 Palolo Chinese Home. 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 family notifications of emergency plan. | Fire Safety | 2024-03-11 | 2024-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-11 | 2024-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-11 | 2024-04-03 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-07 | 2024-03-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-07 | 2024-03-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-07 | 2024-03-28 | 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 | 2024-03-07 | 2024-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-07 | 2024-03-28 | N |
| Keep all essential equipment working safely. | Health | 2024-03-07 | 2024-03-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-05 | 2023-06-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-05 | 2023-06-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-05 | 2023-06-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-05 | 2023-06-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-31 | 2023-04-21 | 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 | 2023-03-31 | 2023-04-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-31 | 2023-04-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-31 | 2023-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-31 | 2023-04-21 | 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 | 2023-03-31 | 2023-04-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-31 | 2023-04-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-31 | 2023-04-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-04-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-04-21 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-31 | 2023-04-21 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-03-31 | 2023-04-21 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-31 | 2023-04-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-01 | 2022-12-14 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-04-22 | 2022-07-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-22 | 2022-07-15 | 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 | 2022-04-22 | 2022-07-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-04-22 | 2022-07-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-22 | 2022-07-15 | N |
| 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 | 2022-04-22 | 2022-05-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-22 | 2022-05-20 | 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 | 2022-04-22 | 2022-05-20 | 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 | 2022-04-22 | 2022-05-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-22 | 2022-05-20 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-22 | 2022-05-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-22 | 2022-05-20 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-04-22 | 2022-05-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-22 | 2022-05-20 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-22 | 2022-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-22 | 2022-05-20 | N |
| Post nurse staffing information every day. | Health | 2022-04-22 | 2022-05-20 | 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 | 2022-04-22 | 2022-05-20 | 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 | 2022-04-22 | 2022-05-20 | 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 | 2022-04-22 | 2022-05-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-22 | 2022-05-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-04-22 | 2022-05-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-22 | 2022-05-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-22 | 2022-05-20 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-22 | 2022-05-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-22 | 2022-05-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-22 | 2022-05-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-22 | 2022-05-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-22 | 2022-05-19 | N |
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