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Deficiency Records for Catalina Island Medical Center D/p Snf
A list of the most recent deficiencies for Catalina Island Medical Center D/p Snf. 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 Catalina Island Medical Center D/p Snf. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-10 | 2024-05-29 | 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 | 2024-05-10 | 2024-05-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-10 | 2024-05-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-05-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-08 | 2024-05-24 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-05-08 | 2024-05-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-08 | 2024-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-19 | 2023-06-21 | 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 | 2023-05-19 | 2023-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-06-21 | N |
| Post nurse staffing information every day. | Health | 2023-05-19 | 2023-06-21 | 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 | 2023-05-19 | 2023-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-19 | 2023-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-19 | 2023-06-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-19 | 2023-06-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-19 | 2023-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-19 | 2023-06-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-19 | 2023-06-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-19 | 2023-06-20 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-28 | 2019-05-14 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2019-03-28 | 2019-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-28 | 2019-05-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-28 | 2019-05-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-28 | 2019-05-14 | 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 | 2019-03-28 | 2019-05-14 | 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 | 2019-03-28 | 2019-05-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-28 | 2019-05-14 | 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 | 2019-03-28 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-05-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-28 | 2019-05-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-28 | 2019-05-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-27 | 2019-04-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-03-27 | 2019-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-04-23 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2019-03-27 | 2019-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-27 | 2019-04-23 | N |
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