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Deficiency Records for Antelope Valley Care Center
A list of the most recent deficiencies for Antelope Valley Care 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 Antelope Valley Care 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? |
|---|---|---|---|---|
| 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 | 2024-08-29 | 2024-09-12 | 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 | 2024-08-29 | 2024-09-12 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-29 | 2024-09-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-29 | 2024-09-12 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-08-29 | 2024-09-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-20 | 2024-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-08-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-09 | 2024-07-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-09 | 2024-07-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-09 | 2024-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-09 | 2024-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-28 | 2024-07-23 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-06-28 | 2024-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-28 | 2024-07-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-28 | 2024-07-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-06 | 2024-06-20 | 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 | 2024-06-06 | 2024-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-30 | 2024-06-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-04-05 | 2024-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-04-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-16 | 2024-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-07 | 2024-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-07 | 2024-03-01 | Y |
| 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 | 2023-10-30 | 2023-11-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-30 | 2023-11-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-30 | 2023-11-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-10 | 2023-10-25 | 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 | 2023-09-21 | 2023-10-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-10-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-10-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-07 | 2023-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-09-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-06 | 2023-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-06 | 2023-09-25 | Y |
| 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 | 2023-09-06 | 2023-09-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-30 | 2023-09-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-01 | 2023-08-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-01 | 2023-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-01 | 2023-08-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-25 | 2023-08-24 | 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 | 2023-07-25 | 2023-08-24 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-07-25 | 2023-08-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-15 | 2023-07-11 | Y |
| Post nurse staffing information every day. | Health | 2023-06-15 | 2023-07-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-15 | 2023-06-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-21 | 2023-05-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-22 | 2023-05-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-18 | 2023-04-17 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-03-18 | 2023-04-17 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-03-18 | 2023-04-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-18 | 2023-04-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-18 | 2023-04-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-06 | 2023-04-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-02 | 2023-03-16 | 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 | 2023-03-02 | 2023-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-02 | 2023-03-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-08 | 2023-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-08 | 2022-10-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-01 | 2022-09-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-02 | 2022-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-20 | 2022-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-10 | 2022-05-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-06 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-06 | 2022-04-29 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-06 | 2022-04-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-11 | 2022-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-11 | 2022-04-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-11 | 2022-04-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-11 | 2022-04-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-04-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-15 | 2022-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-15 | 2022-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-15 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-15 | 2022-04-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-15 | 2022-04-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-14 | 2022-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-23 | 2022-03-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-23 | 2022-03-10 | 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 | 2022-01-27 | 2022-02-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-16 | 2022-01-25 | Y |
| Report COVID19 data to residents and families. | Health | 2022-01-04 | 2022-01-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-20 | 2022-01-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-19 | 2022-01-07 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-24 | 2019-10-15 | N |
| 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 | 2019-09-19 | 2019-10-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-19 | 2019-10-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-19 | 2019-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-19 | 2019-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-19 | 2019-10-11 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2019-09-19 | 2019-10-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-09-19 | 2019-10-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-19 | 2019-10-11 | 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 | 2019-09-19 | 2019-10-11 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2019-09-19 | 2019-10-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-09-19 | 2019-10-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-21 | 2018-10-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-21 | 2018-10-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-21 | 2018-10-13 | 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 | 2018-09-21 | 2018-10-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-21 | 2018-10-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-21 | 2018-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-21 | 2018-10-13 | 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 | 2018-09-21 | 2018-10-13 | 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 | 2018-09-21 | 2018-10-13 | 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 | 2018-09-21 | 2018-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-21 | 2018-10-13 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-20 | 2018-10-08 | 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 | 2018-09-20 | 2018-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-09-20 | 2018-10-08 | N |
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