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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? |
|---|---|---|---|---|
| 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 |
| Have a combustible roofing system that meets safety standards. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-11-14 | 2018-12-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-29 | 2018-10-02 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2018-08-29 | 2018-10-02 | 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 | 2018-08-29 | 2018-10-02 | 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 | 2018-08-29 | 2018-10-02 | 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 | 2018-08-29 | 2018-10-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-29 | 2018-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-29 | 2018-10-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-29 | 2018-10-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-08-29 | 2018-10-02 | N |
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