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Deficiency Records for Casa Arena Healthcare LLC
A list of the most recent deficiencies for Casa Arena Healthcare LLC. 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 Casa Arena Healthcare LLC. 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 basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-04-24 | 2024-05-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-24 | 2024-05-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-24 | 2024-05-23 | 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 | 2024-04-24 | 2024-05-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-24 | 2024-05-23 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-24 | 2024-05-23 | 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 | 2024-04-24 | 2024-05-23 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-04-24 | 2024-05-23 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-04-24 | 2024-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-24 | 2024-05-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-24 | 2024-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-24 | 2024-05-23 | 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 | 2024-04-24 | 2024-05-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-24 | 2024-05-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-04-24 | 2024-05-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-24 | 2024-05-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-24 | 2024-05-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-24 | 2024-05-23 | 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 | 2024-04-24 | 2024-05-23 | N |
| 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 | 2024-04-24 | 2024-05-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-24 | 2024-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-04-24 | 2024-05-23 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-04-24 | 2024-05-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-24 | 2024-05-23 | Y |
| 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 | 2024-04-24 | 2024-05-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-24 | 2024-05-23 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-04-16 | 2024-05-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-16 | 2024-05-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-16 | 2024-05-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-24 | 2023-11-15 | Y |
| 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 | 2023-10-24 | 2023-11-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-24 | 2023-11-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-24 | 2023-11-15 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-16 | 2023-05-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-05-15 | 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 | 2023-02-16 | 2023-05-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-05-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-06 | 2023-05-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-04-06 | 2023-05-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-04-06 | 2023-05-15 | 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 | 2023-04-06 | 2023-05-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-06 | 2023-05-15 | 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 | 2023-04-06 | 2023-05-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-06 | 2023-05-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-05-15 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-06 | 2023-05-15 | 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 | 2023-04-06 | 2023-05-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-06 | 2023-05-15 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-06 | 2023-05-15 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-04-06 | 2023-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-05-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-06 | 2023-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-06 | 2023-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-06 | 2023-05-15 | 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 | 2023-04-06 | 2023-05-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-06 | 2023-05-15 | 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 | 2023-04-06 | 2023-05-15 | 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 | 2023-04-06 | 2023-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-06 | 2023-05-15 | 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 | 2023-04-06 | 2023-05-15 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-04-06 | 2023-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-06 | 2023-05-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-06 | 2023-05-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-29 | 2023-05-15 | 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 | 2023-03-29 | 2023-05-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2023-03-29 | 2023-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-27 | 2022-10-24 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-09-27 | 2022-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-27 | 2022-10-24 | 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 | 2022-09-27 | 2022-10-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-06-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-31 | 2022-06-18 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-01-25 | 2022-02-18 | Y |
| 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 | 2022-01-25 | 2022-02-18 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-25 | 2022-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-25 | 2022-02-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-25 | 2022-02-18 | 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 | 2022-01-25 | 2022-02-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-25 | 2022-02-18 | 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 | 2022-01-25 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-25 | 2022-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-25 | 2022-02-18 | N |
| Report COVID19 data to residents and families. | Health | 2022-01-25 | 2022-02-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-25 | 2022-02-18 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-11 | 2022-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-11 | 2022-02-18 | N |
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