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Deficiency Records for Restoracy of Carmel
A list of the most recent deficiencies for Restoracy of Carmel. 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 Restoracy of Carmel. 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-08-07 | 2024-08-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-23 | 2024-04-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-23 | 2024-04-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-02-23 | 2024-04-02 | 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 | 2024-02-23 | 2024-04-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-23 | 2024-04-02 | N |
| Provide activities to meet all resident's needs. | Health | 2024-02-23 | 2024-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-23 | 2024-04-02 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-02-23 | 2024-04-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-02-23 | 2024-04-02 | 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 | 2024-02-23 | 2024-04-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-04-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-02-23 | 2024-04-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-03-08 | 2024-04-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-08 | 2024-04-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-08 | 2024-04-02 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-03-08 | 2024-04-02 | 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 | 2024-03-08 | 2024-04-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-08 | 2024-04-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-08 | 2024-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-08 | 2024-04-02 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-03-08 | 2024-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-03 | 2023-09-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-05 | 2023-09-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-05 | 2023-09-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-04-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-02-07 | 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 | 2022-12-08 | 2023-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-08 | 2023-02-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-11 | 2023-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-11 | 2023-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-11 | 2023-01-13 | 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 | 2022-12-08 | 2023-01-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-08 | 2023-01-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-08 | 2023-01-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-08 | 2023-01-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-08 | 2023-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-08 | 2023-01-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-01-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-08 | 2023-01-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-12-08 | 2023-01-08 | 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 | 2022-12-08 | 2023-01-08 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-08 | 2023-01-08 | N |
| Post nurse staffing information every day. | Health | 2022-12-08 | 2023-01-08 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-08 | 2023-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-08 | 2023-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2023-01-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-12-08 | 2023-01-08 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-08 | 2023-01-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-12-08 | 2023-01-08 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-08 | 2023-01-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-08 | 2022-12-09 | N |
| Respond appropriately to all alleged violations. | Health | 2022-12-08 | 2022-12-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-10 | 2022-01-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-12-10 | 2022-01-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Develop a communication plan. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-20 | 2021-11-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-04 | 2021-10-30 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-10-04 | 2021-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-04 | 2021-10-30 | 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 | 2021-10-04 | 2021-10-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-04 | 2021-10-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-04 | 2021-10-30 | 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 | 2021-10-04 | 2021-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-04 | 2021-10-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-04 | 2021-10-30 | N |
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