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Deficiency Records for El Dorado Care and Rehab
A list of the most recent deficiencies for El Dorado Care and Rehab. 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 El Dorado Care and Rehab. 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-14 | 2024-04-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-14 | 2024-04-26 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-07 | 2022-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-07 | 2022-12-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-07 | 2022-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-07 | 2022-12-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-07 | 2022-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-07 | 2022-12-05 | 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 | 2022-10-18 | 2022-11-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-18 | 2022-11-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-18 | 2022-11-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-18 | 2022-11-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-18 | 2022-11-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-18 | 2022-11-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-18 | 2022-11-11 | N |
| Post nurse staffing information every day. | Health | 2022-10-18 | 2022-11-11 | 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 | 2022-10-18 | 2022-11-11 | 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 | 2022-10-18 | 2022-11-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-18 | 2022-11-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-03 | 2021-07-03 | 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 | 2021-06-03 | 2021-07-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-03 | 2021-07-03 | 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 | 2021-06-03 | 2021-07-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-03 | 2021-07-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-03 | 2021-06-03 | 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 | 2021-04-15 | 2021-05-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-15 | 2021-05-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-15 | 2021-05-19 | 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 | 2021-04-15 | 2021-05-19 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-04-15 | 2021-05-19 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-04-15 | 2021-05-19 | 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 | 2021-04-15 | 2021-05-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-15 | 2021-05-19 | 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 | 2021-04-15 | 2021-05-19 | 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 | 2021-04-15 | 2021-05-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-15 | 2021-05-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-15 | 2021-05-19 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Use approved construction type or materials. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-13 | 2019-09-13 | 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 | 2019-08-13 | 2019-09-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-08-13 | 2019-09-13 | 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 | 2019-08-13 | 2019-09-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-13 | 2019-09-13 | 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 | 2019-06-27 | 2019-07-19 | 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 | 2019-06-27 | 2019-07-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-27 | 2019-07-19 | 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 | 2019-06-27 | 2019-07-19 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-06-27 | 2019-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-27 | 2019-07-19 | 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 | 2019-06-27 | 2019-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-27 | 2019-07-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-27 | 2019-07-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-27 | 2019-07-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-27 | 2019-07-19 | 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 | 2019-06-27 | 2019-07-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-27 | 2019-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-07-19 | N |
| Keep all essential equipment working safely. | Health | 2019-06-27 | 2019-07-19 | N |
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