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Deficiency Records for Corona Post Acute Center
A list of the most recent deficiencies for Corona Post Acute 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 Corona Post Acute 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-07-10 | 2024-07-31 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-29 | 2024-06-07 | Y |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-05-23 | 2024-05-30 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-20 | 2024-05-30 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-17 | 2024-05-10 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-13 | 2024-02-23 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-13 | 2024-02-23 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-13 | 2024-02-23 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-01-02 | 2024-01-26 | 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 | 2023-12-01 | 2023-12-31 | Y |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-10-20 | 2023-10-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-06 | 2023-09-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-25 | 2023-09-15 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-17 | 2023-08-04 | Y |
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-05-31 | 2023-06-16 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-05-31 | 2023-06-16 | Y |
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-05-04 | 2023-05-19 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-19 | 2023-05-12 | 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 | 2023-04-19 | 2023-05-12 | 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 | 2023-02-28 | 2023-03-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-21 | 2022-11-01 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-10 | 2022-10-21 | Y |
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 | 2022-09-22 | 2022-09-28 | Y |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-21 | 2022-08-05 | Y |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-17 | 2022-06-09 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-17 | 2022-06-09 | 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 | 2022-05-17 | 2022-06-09 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-17 | 2022-06-09 | 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 | 2022-05-17 | 2022-06-09 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-17 | 2022-06-09 | 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 | 2022-05-17 | 2022-06-09 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-17 | 2022-06-09 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-17 | 2022-06-09 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-17 | 2022-06-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-17 | 2022-06-09 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-05-17 | 2022-06-09 | 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 | 2022-05-17 | 2022-06-09 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-17 | 2022-06-09 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-18 | 2022-06-03 | Y |
Use approved construction type or materials. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-18 | 2022-06-03 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-04-14 | 2022-05-09 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-11 | 2022-02-23 | Y |
Provide or obtain dental services for each resident. | Health | 2021-12-02 | 2021-12-21 | Y |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-07-28 | 2020-08-17 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-11 | 2020-04-28 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-11 | 2020-04-28 | 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 | 2020-03-11 | 2020-04-28 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-03-11 | 2020-04-28 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-11 | 2020-04-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-11 | 2020-04-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-11 | 2020-04-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-11 | 2020-04-28 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-11 | 2020-04-28 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-11 | 2020-04-28 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-03-11 | 2020-04-28 | 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 | 2020-03-11 | 2020-04-28 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-11 | 2020-04-28 | 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 | 2020-03-11 | 2020-04-28 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-03-11 | 2020-04-28 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-11 | 2020-04-28 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-11 | 2020-04-28 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Provide primary/alternate means for communication. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Have exits that are accessible at all times. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Provide properly protected cooking facilities. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-25 | 2019-07-17 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-09 | 2019-06-17 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-09 | 2019-06-17 | 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 | 2019-05-09 | 2019-06-17 | 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 | 2019-05-09 | 2019-06-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-09 | 2019-06-17 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-09 | 2019-06-17 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-09 | 2019-06-17 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-09 | 2019-06-17 | 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 | 2019-05-09 | 2019-06-17 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-09 | 2019-06-17 | N |
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