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Deficiency Records for Desert Regional Medical Center D/p Snf
A list of the most recent deficiencies for Desert Regional 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 Desert Regional 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? |
|---|---|---|---|---|
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-08-01 | 2024-08-26 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-29 | 2024-04-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-02-29 | 2024-04-12 | N |
| Keep all essential equipment working safely. | Health | 2024-02-29 | 2024-03-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-07 | 2024-03-24 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2024-03-07 | 2024-03-24 | 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 | 2024-02-29 | 2024-03-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-29 | 2024-03-22 | 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 | 2024-02-29 | 2024-03-19 | 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 | 2024-02-29 | 2024-03-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-03 | 2024-01-24 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-08 | 2023-01-17 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-12-01 | 2022-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-01 | 2022-12-30 | N |
| Keep all essential equipment working safely. | Health | 2022-12-01 | 2022-12-30 | 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 | 2022-12-01 | 2022-12-24 | 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 | 2022-12-01 | 2022-12-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-01 | 2022-12-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-01 | 2022-12-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-01 | 2022-12-24 | 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 | 2022-12-01 | 2022-12-24 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-11-22 | 2022-12-14 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-11-22 | 2022-12-14 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-26 | 2019-10-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-26 | 2019-10-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-26 | 2019-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 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 | 2019-08-22 | 2019-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-16 | N |
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