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Deficiency Records for Desert Springs Post Acute
A list of the most recent deficiencies for Desert Springs 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 Desert Springs 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-30 | 2024-10-23 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-09-13 | 2024-10-05 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-09-13 | 2024-10-05 | 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 | 2024-09-13 | 2024-10-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-13 | 2024-10-05 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-09-13 | 2024-10-05 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-13 | 2024-10-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-15 | 2024-07-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-06-28 | 2024-07-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-28 | 2024-07-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-28 | 2024-07-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-11 | 2024-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-11 | 2024-06-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-03 | 2024-06-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-03 | 2024-06-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-16 | 2024-06-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-10 | 2024-04-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-09 | 2024-04-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-09 | 2024-04-11 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-04-09 | 2024-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-04-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-02-22 | 2024-04-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-19 | 2024-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-01-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-12 | 2024-01-25 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-12 | 2024-01-25 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-08 | 2023-11-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-25 | 2023-11-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-10-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-27 | 2023-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-27 | 2023-10-27 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-09-07 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-15 | 2023-09-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-23 | 2023-08-02 | 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 | 2023-06-23 | 2023-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-23 | 2023-08-02 | 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 | 2023-06-23 | 2023-08-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-23 | 2023-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-23 | 2023-08-02 | 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 | 2023-06-23 | 2023-08-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-23 | 2023-08-02 | 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 | 2023-06-23 | 2023-08-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-23 | 2023-08-02 | 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 | 2023-06-23 | 2023-08-02 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-06-23 | 2023-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-23 | 2023-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-08-02 | 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 | 2023-06-23 | 2023-08-02 | 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 | 2023-06-23 | 2023-08-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-08-02 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-27 | 2023-07-25 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-15 | 2023-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-13 | 2023-04-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-11 | 2023-04-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-22 | 2023-03-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-23 | 2023-01-18 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-23 | 2023-01-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-28 | 2022-11-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-18 | 2022-10-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-18 | 2022-10-28 | 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 | 2022-10-18 | 2022-10-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-18 | 2022-10-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-10 | 2022-10-19 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-22 | 2022-08-19 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-07-21 | 2022-08-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-21 | 2022-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-21 | 2022-07-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-03 | 2022-06-20 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-03 | 2022-06-20 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-03 | 2022-06-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-03 | 2022-06-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-03 | 2022-06-20 | Y |
| 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 | 2022-04-12 | 2022-05-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-09 | 2022-04-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-23 | 2022-03-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-16 | 2021-12-20 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-14 | 2020-02-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-16 | 2020-01-29 | 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 | 2019-12-16 | 2020-01-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-12-16 | 2020-01-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-12-16 | 2020-01-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-16 | 2020-01-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-12-16 | 2020-01-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-16 | 2020-01-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-16 | 2020-01-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-12-16 | 2020-01-29 | 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 | 2019-12-16 | 2020-01-29 | 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 | 2019-12-16 | 2020-01-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-16 | 2020-01-29 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-16 | 2020-01-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-12-16 | 2020-01-29 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-12-16 | 2020-01-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-12-16 | 2020-01-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-16 | 2020-01-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-04-05 | 2019-04-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-05 | 2019-03-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-02-05 | 2019-03-05 | 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 | 2019-02-05 | 2019-03-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-05 | 2019-03-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-02-05 | 2019-03-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-05 | 2019-03-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-05 | 2019-03-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-02-05 | 2019-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-05 | 2019-03-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-05 | 2019-03-05 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-02-05 | 2019-03-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-05 | 2019-03-05 | 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 | 2019-02-05 | 2019-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-05 | 2019-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-05 | 2019-03-05 | N |
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