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Deficiency Records for Poway Healthcare Center
A list of the most recent deficiencies for Poway Healthcare 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 Poway Healthcare 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? |
---|---|---|---|---|
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-19 | 2024-03-31 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-14 | 2024-03-14 | Y |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-12-15 | 2024-01-09 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-08-25 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-30 | 2023-06-30 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2023-05-03 | 2023-05-24 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-14 | 2023-04-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-14 | 2023-04-28 | Y |
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 | 2023-03-29 | 2023-04-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-29 | 2023-04-13 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-13 | 2022-10-13 | Y |
Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-07-07 | 2022-08-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-08 | 2022-05-08 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-04-05 | 2022-04-20 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-03-17 | 2022-04-17 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-17 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-17 | 2022-04-17 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-17 | 2022-04-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-17 | 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 | 2022-03-17 | 2022-04-17 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-17 | 2022-04-17 | N |
Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-03-17 | 2022-04-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-17 | 2022-04-17 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-17 | N |
Use approved construction type or materials. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-23 | 2022-04-12 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-14 | 2022-03-14 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-14 | 2022-03-14 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-21 | 2022-02-07 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-05-02 | 2019-06-20 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-06-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-02 | 2019-06-20 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-02 | 2019-06-20 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-06-20 | N |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-11 | 2019-05-29 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-11 | 2019-05-29 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-11 | 2019-05-29 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-11 | 2019-05-29 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-11 | 2019-05-29 | 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 | 2019-04-11 | 2019-05-29 | 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 | 2019-04-11 | 2019-05-29 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-04-11 | 2019-05-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-05-29 | 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 | 2019-04-11 | 2019-05-29 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-11 | 2019-05-29 | N |
Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-29 | N |
Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Develop a communication plan. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Establish emergency prep training and testing. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Provide properly protected cooking facilities. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2018-06-19 | 2018-07-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-19 | 2018-05-22 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-19 | 2018-05-22 | N |
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