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Deficiency Records for Joshua Tree Post Acute
A list of the most recent deficiencies for Joshua Tree 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 Joshua Tree 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-20 | 2024-10-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-20 | 2024-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-20 | 2024-10-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-09-20 | 2024-10-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-20 | 2024-10-11 | N |
| Use approved construction type or materials. | Fire Safety | 2024-09-24 | 2024-09-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-24 | 2024-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-24 | 2024-09-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-14 | 2024-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-02 | 2024-05-14 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Use approved construction type or materials. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-04-15 | 2024-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-15 | 2024-04-25 | 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 | 2024-03-29 | 2024-04-19 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-29 | 2024-04-19 | 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 | 2024-03-29 | 2024-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-29 | 2024-04-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-25 | 2024-02-16 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-10 | 2023-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-06 | 2023-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-06 | 2023-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-06 | 2023-11-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-06 | 2023-11-06 | 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 | 2023-10-06 | 2023-11-06 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-10-06 | 2023-11-06 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-06 | 2023-11-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-06 | 2023-11-06 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-10-06 | 2023-11-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-06 | 2023-11-06 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-03-06 | 2023-03-10 | 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 | 2023-01-12 | 2023-01-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-01-12 | 2023-01-24 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-12-14 | 2022-12-19 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-14 | 2022-12-19 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-14 | 2022-12-19 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-11-17 | 2022-12-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-08 | 2022-09-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-08 | 2022-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-08 | 2022-09-26 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-08 | 2022-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-27 | 2022-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-27 | 2022-06-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-27 | 2022-06-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-27 | 2022-06-12 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-13 | 2022-05-17 | 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 | 2022-02-22 | 2022-03-07 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-11-02 | 2021-12-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-02 | 2021-12-06 | Y |
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