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Deficiency Records for Rancho Mirage Health and Rehabilitation Center
A list of the most recent deficiencies for Rancho Mirage Health and Rehabilitation 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 Rancho Mirage Health and Rehabilitation 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-30 | 2024-10-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-28 | 2024-04-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-25 | 2024-04-05 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-11-15 | 2024-01-26 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-15 | 2024-01-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-08 | 2023-12-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-08 | 2023-12-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-11-08 | 2023-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-12-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2023-12-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-08 | 2023-12-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-08 | 2023-12-22 | 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 | 2023-11-08 | 2023-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-08 | 2023-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2023-11-02 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-01-12 | 2023-01-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-09 | 2023-01-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-09 | 2023-01-18 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-01-09 | 2023-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-10-22 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-05-20 | 2021-06-24 | 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 | 2021-05-20 | 2021-06-24 | 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 | 2021-05-20 | 2021-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-20 | 2021-06-24 | N |
| Provide activities to meet all resident's needs. | Health | 2021-05-20 | 2021-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-20 | 2021-06-24 | 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 | 2021-05-20 | 2021-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-24 | 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 | 2021-05-20 | 2021-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-20 | 2021-06-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-20 | 2021-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-20 | 2021-06-24 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-05-20 | 2021-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-24 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Use approved construction type or materials. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-05-27 | 2021-06-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-28 | 2019-07-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-28 | 2019-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-28 | 2019-07-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-28 | 2019-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-28 | 2019-07-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-28 | 2019-07-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-28 | 2019-07-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-31 | 2019-07-03 | 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 | 2019-05-31 | 2019-07-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-31 | 2019-07-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-31 | 2019-07-03 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-05-31 | 2019-07-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-31 | 2019-07-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-31 | 2019-07-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-31 | 2019-07-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-31 | 2019-07-03 | 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 | 2019-05-31 | 2019-07-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-31 | 2019-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-31 | 2019-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-31 | 2019-07-03 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-05-31 | 2019-07-03 | N |
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