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Deficiency Records for El Centro Post-Acute Care
A list of the most recent deficiencies for El Centro Post-Acute Care. 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 El Centro Post-Acute Care. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-24 | 2024-10-10 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-09-12 | 2024-10-04 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-12 | 2024-10-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-12 | 2024-10-04 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-12 | 2024-10-04 | 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 | 2024-09-12 | 2024-10-04 | 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 | 2024-09-12 | 2024-10-04 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-12 | 2024-10-04 | N |
Ensure that residents are free from significant medication errors. | Health | 2024-09-12 | 2024-10-04 | N |
Dispose of garbage and refuse properly. | Health | 2024-09-12 | 2024-10-04 | 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 | 2024-09-12 | 2024-10-04 | N |
Provide and implement an infection prevention and control program. | Health | 2024-09-12 | 2024-10-04 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Conduct testing and exercise requirements. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Use approved construction type or materials. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-17 | 2024-10-02 | N |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2024-08-15 | 2024-09-20 | Y |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-06-05 | 2024-06-27 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-03 | 2024-04-20 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-03 | 2024-04-20 | 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 | 2023-10-25 | 2023-11-03 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-25 | 2023-11-03 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-04-25 | 2023-05-16 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-06 | 2021-06-21 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-06 | 2021-06-21 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-05-06 | 2021-06-21 | 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 | 2021-05-06 | 2021-06-21 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-06 | 2021-06-21 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-05-06 | 2021-06-21 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-06 | 2021-06-21 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-05-06 | 2021-06-21 | 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 | 2021-05-06 | 2021-06-21 | 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 | 2021-05-06 | 2021-06-21 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-06 | 2021-06-21 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-06-21 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-06 | 2021-06-21 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-06 | 2021-06-21 | N |
Implement a program that monitors antibiotic use. | Health | 2021-05-06 | 2021-06-21 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-05-11 | 2021-06-07 | N |
Implement emergency and standby power systems. | Fire Safety | 2021-05-11 | 2021-06-07 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-11 | 2021-06-07 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-11 | 2021-06-07 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-11 | 2021-06-07 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-11 | 2021-06-07 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-28 | 2019-11-22 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-26 | 2019-10-28 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-26 | 2019-10-28 | N |
Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-09-26 | 2019-10-28 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-09-26 | 2019-10-28 | 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 | 2019-09-26 | 2019-10-28 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-26 | 2019-10-28 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-09-26 | 2019-10-28 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-09-26 | 2019-10-28 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-26 | 2019-10-28 | N |
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-09-26 | 2019-10-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-26 | 2019-10-28 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-26 | 2019-10-28 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-09-26 | 2019-10-28 | 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 | 2019-09-26 | 2019-10-28 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-10-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-26 | 2019-10-28 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-26 | 2019-10-28 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-26 | 2019-10-28 | N |
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