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Deficiency Records for Hemet Hills Post Acute
A list of the most recent deficiencies for Hemet Hills Post Acute. 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 Hemet Hills Post Acute. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-23 | 2024-09-13 | Y |
| 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 | 2024-08-23 | 2024-09-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-23 | 2024-09-13 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-23 | 2024-09-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-23 | 2024-09-13 | Y |
| 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 | 2024-08-23 | 2024-09-13 | Y |
| Post nurse staffing information every day. | Health | 2024-06-26 | 2024-07-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-19 | 2024-07-10 | Y |
| 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 | 2024-06-19 | 2024-07-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-19 | 2024-07-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-21 | 2024-06-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-21 | 2024-06-12 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-07 | 2024-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-09 | 2024-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-10 | 2024-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-10 | 2024-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-21 | 2024-04-03 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-21 | 2024-04-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-04-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-21 | 2024-04-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-27 | 2024-01-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-13 | 2024-01-05 | 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 | 2023-10-05 | 2023-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-09-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-24 | 2023-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-24 | 2023-06-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-04-24 | 2023-06-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-24 | 2023-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-24 | 2023-05-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide appropriate foot care. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-04-24 | 2023-05-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-24 | 2023-05-24 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-24 | 2023-05-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-24 | 2023-05-24 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-12 | 2022-08-12 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-01-12 | 2022-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-13 | 2022-01-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-09-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-27 | 2020-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-09-14 | 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 | 2020-02-27 | 2020-09-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-02-27 | 2020-09-14 | 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 | 2020-02-27 | 2020-09-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-09-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-07 | 2019-05-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-07 | 2019-05-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-07 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-07 | 2019-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-07 | 2019-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-07 | 2019-05-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-07 | 2019-05-01 | 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 | 2019-03-07 | 2019-05-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-03-07 | 2019-05-01 | 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 | 2019-03-07 | 2019-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-05-01 | N |
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