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Deficiency Records for Las Flores Convalescent Hospital

A list of the most recent deficiencies for Las Flores Convalescent Hospital. 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 Flores Convalescent Hospital. 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?
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-06-01 2024-07-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-01 2024-07-01 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-29 2024-06-26 Y
Respond appropriately to all alleged violations. Health 2024-06-13 2024-06-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-05-08 2024-05-29 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-03-08 2024-04-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-03-08 2024-04-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-03-08 2024-04-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-03-08 2024-04-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-03-08 2024-04-01 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2024-03-08 2024-04-01 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2024-03-08 2024-04-01 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 2024-03-08 2024-04-01 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 2024-03-08 2024-04-01 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2024-03-08 2024-04-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-08 2024-04-01 N
Dispose of garbage and refuse properly. Health 2024-03-08 2024-04-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-08 2024-04-01 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2024-03-08 2024-04-01 N
Provide and implement an infection prevention and control program. Health 2024-03-08 2024-04-01 N
Ensure resident rooms meet each resident's needs. Health 2024-03-08 2024-04-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-03-13 2024-03-27 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 2024-03-13 2024-03-27 N
Construct fire resistant interior walls. Fire Safety 2024-03-13 2024-03-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-13 2024-03-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2024-03-13 2024-03-27 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-09 2024-03-01 Y
Ensure each resident receives an accurate assessment. Health 2024-02-14 2024-02-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-06 2023-11-30 Y
Ensure each resident receives an accurate assessment. Health 2023-10-23 2023-11-15 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-08-21 2023-09-30 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-21 2023-09-30 Y
Respond appropriately to all alleged violations. Health 2023-08-21 2023-09-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-21 2023-09-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-21 2023-09-30 Y
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 2023-08-09 2023-08-31 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-08-09 2023-08-31 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-09 2023-08-31 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-09 2023-08-31 Y
Provide and implement an infection prevention and control program. Health 2022-12-01 2022-12-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-25 2022-09-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-25 2022-09-15 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-08-19 2022-08-23 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-06-23 2022-07-01 Y
Perform COVID19 testing on residents and staff. Health 2022-05-04 2022-06-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-28 2022-04-25 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-28 2022-04-25 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-10 2022-03-23 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-10 2022-03-23 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-10 2022-03-23 Y
Provide and implement an infection prevention and control program. Health 2022-01-04 2022-02-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-11-18 2022-01-05 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2021-11-18 2022-01-05 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-11-18 2022-01-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-11-18 2022-01-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-18 2022-01-05 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-11-18 2022-01-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-11-18 2022-01-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-18 2022-01-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-18 2022-01-05 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 2021-11-18 2022-01-05 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 2021-11-18 2022-01-05 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-11-18 2022-01-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-18 2022-01-05 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-11-18 2022-01-05 N
Provide and implement an infection prevention and control program. Health 2021-11-18 2022-01-05 N
Implement a program that monitors antibiotic use. Health 2021-11-18 2022-01-05 N
Keep all essential equipment working safely. Health 2021-11-18 2022-01-05 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-11-18 2021-12-10 N
Provide emergency officials' contact information. Fire Safety 2021-11-18 2021-12-10 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 2021-11-18 2021-12-10 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2021-11-18 2021-12-10 N
Install an approved automatic sprinkler system. Fire Safety 2021-11-18 2021-12-10 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2021-11-18 2021-12-10 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-11-18 2021-12-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-11-18 2021-12-10 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2019-11-08 2019-12-17 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2019-11-08 2019-12-17 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-11-08 2019-12-16 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-11-08 2019-12-16 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-11-08 2019-12-16 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 2019-11-08 2019-12-16 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 2019-11-08 2019-12-16 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-11-08 2019-12-16 N
Ensure each resident receives an accurate assessment. Health 2019-11-08 2019-12-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-11-08 2019-12-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-08 2019-12-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-11-08 2019-12-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-11-08 2019-12-16 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 2019-11-08 2019-12-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-08 2019-12-16 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 2019-11-08 2019-12-16 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2019-11-08 2019-12-16 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-11-08 2019-12-16 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 2019-11-08 2019-12-16 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-11-08 2019-12-16 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 2019-11-08 2019-12-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-11-08 2019-12-16 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-11-08 2019-12-16 N
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2019-11-08 2019-12-16 N
Provide and implement an infection prevention and control program. Health 2019-11-08 2019-12-16 N
Implement a program that monitors antibiotic use. Health 2019-11-08 2019-12-16 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2019-11-08 2019-12-16 N

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