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Deficiency Records for Las Palomas Center

A list of the most recent deficiencies for Las Palomas 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 Las Palomas 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?
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-07-19 2024-08-22 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-19 2024-08-16 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-07-19 2024-08-16 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 2024-07-19 2024-08-16 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-07-19 2024-08-16 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 2024-07-19 2024-08-16 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 2024-07-19 2024-08-16 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-07-19 2024-08-16 N
Provide activities to meet all resident's needs. Health 2024-07-19 2024-08-16 N
Ensure the activities program is directed by a qualified professional. Health 2024-07-19 2024-08-16 N
Assist a resident in gaining access to vision and hearing services. Health 2024-07-19 2024-08-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-19 2024-08-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-07-19 2024-08-16 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 2024-07-19 2024-08-16 N
Ensure medication error rates are not 5 percent or greater. Health 2024-07-19 2024-08-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-07-19 2024-08-16 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-07-19 2024-08-16 N
Provide and implement an infection prevention and control program. Health 2024-07-19 2024-08-16 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-19 2024-08-16 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2024-07-19 2024-08-16 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2024-07-23 2024-08-16 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-23 2024-08-16 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-23 2024-08-16 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2024-03-07 2024-04-09 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-03-07 2024-04-09 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-03-07 2024-04-09 Y
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 2024-04-09 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-03-07 2024-04-09 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-03-07 2024-04-09 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-11-08 2024-01-05 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-08 2024-01-05 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2023-11-08 2024-01-05 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-11-08 2024-01-05 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-08 2024-01-05 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-17 2023-10-06 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-08-17 2023-10-06 N
Honor the resident's right to manage his or her financial affairs. Health 2023-08-17 2023-10-06 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-08-17 2023-10-06 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 2023-08-17 2023-10-06 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 2023-08-17 2023-10-06 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-08-17 2023-10-06 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-17 2023-10-06 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-08-17 2023-10-06 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-08-17 2023-10-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-17 2023-10-06 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 2023-08-17 2023-10-06 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-08-17 2023-10-06 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-08-17 2023-10-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-17 2023-10-06 N
Provide and implement an infection prevention and control program. Health 2023-08-17 2023-10-06 N
Meet other general requirements that are deficient. Fire Safety 2023-08-15 2023-09-11 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-07-18 2023-08-01 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 2023-07-18 2023-08-01 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-07-18 2023-08-01 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-05-15 2023-05-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-02 2023-03-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-02 2022-10-14 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-02 2022-10-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-02 2022-10-14 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-09-02 2022-10-14 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-04-28 2022-06-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-28 2022-06-17 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-04-28 2022-06-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-04-28 2022-06-17 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-04-28 2022-06-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-28 2022-06-17 Y
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 2022-04-28 2022-06-17 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-04-12 2022-06-17 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-23 2021-12-27 Y

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