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Deficiency Records for Almond Vista Healthcare
A list of the most recent deficiencies for Almond Vista Healthcare. 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 Almond Vista Healthcare. 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? |
---|---|---|---|---|
List the names and contact information of those in the facility. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Establish staff and initial training requirements. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Conduct testing and exercise requirements. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-08-06 | 2024-09-09 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-02 | 2024-08-23 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-02 | 2024-08-23 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-02 | 2024-08-23 | 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 | 2024-08-02 | 2024-08-23 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-02 | 2024-08-23 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-02 | 2024-08-23 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-02 | 2024-08-23 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-02 | 2024-08-23 | 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 | 2024-08-02 | 2024-08-23 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-08-02 | 2024-08-23 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-08-02 | 2024-08-23 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-08-02 | 2024-08-23 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-02 | 2024-08-23 | N |
Provide and implement an infection prevention and control program. | Health | 2024-08-02 | 2024-08-23 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-25 | 2024-04-05 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-25 | 2024-04-05 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-11-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-03-17 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-02-14 | 2023-03-03 | Y |
Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-24 | 2022-06-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-28 | 2022-03-08 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-17 | 2019-11-06 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-17 | 2019-11-06 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-17 | 2019-11-06 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-17 | 2019-11-06 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-07-17 | 2019-11-06 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-07-17 | 2019-11-06 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-17 | 2019-11-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-17 | 2019-11-06 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
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 | 2019-07-17 | 2019-11-06 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-07-17 | 2019-11-06 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-17 | 2019-11-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-17 | 2019-11-06 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-07-17 | 2019-11-06 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-17 | 2019-11-06 | N |
Provide and implement an infection prevention and control program. | Health | 2019-07-17 | 2019-11-06 | N |
Keep all essential equipment working safely. | Health | 2019-07-17 | 2019-11-06 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-04-20 | 2018-07-10 | 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 | 2018-04-20 | 2018-07-10 | 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 | 2018-04-20 | 2018-07-10 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-20 | 2018-07-10 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-20 | 2018-07-10 | N |
Honor each resident's preferences, choices, values and beliefs. | Health | 2018-04-20 | 2018-07-10 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-20 | 2018-07-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-20 | 2018-07-10 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-20 | 2018-07-10 | 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 | 2018-04-20 | 2018-07-10 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-20 | 2018-07-10 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-20 | 2018-07-10 | N |
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2018-04-20 | 2018-07-10 | N |
Provide or obtain dental services for each resident. | Health | 2018-04-20 | 2018-07-10 | N |
Provide and implement an infection prevention and control program. | Health | 2018-04-20 | 2018-07-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
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