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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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