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Deficiency Records for Canyon Oaks Nursing and Rehabilitation Center
A list of the most recent deficiencies for Canyon Oaks Nursing and Rehabilitation 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 Canyon Oaks Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-18 | 2024-08-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-20 | 2024-06-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-18 | 2024-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-18 | 2024-04-26 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-12 | 2024-03-21 | 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 | 2024-03-12 | 2024-03-21 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-12 | 2024-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-08 | 2024-03-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-08 | 2024-03-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-08 | 2024-03-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-08 | 2024-03-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-08 | 2024-03-20 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-03-08 | 2024-03-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-08 | 2024-03-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-03-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-08 | 2024-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-08 | 2024-03-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-28 | 2023-10-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-01 | 2023-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-07-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-05 | 2022-12-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-05 | 2022-12-22 | 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 | 2022-12-05 | 2022-12-22 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-12-02 | 2022-12-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-26 | 2022-11-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-26 | 2022-11-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-29 | 2022-10-20 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-23 | 2022-09-09 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-06-30 | 2022-07-21 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-06-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-26 | 2022-06-15 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-06 | 2021-08-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-06 | 2021-08-30 | 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 | 2021-08-06 | 2021-08-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-06 | 2021-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-06 | 2021-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-06 | 2021-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-06 | 2021-08-30 | 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 | 2021-08-06 | 2021-08-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-08-06 | 2021-08-30 | 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 | 2021-08-06 | 2021-08-30 | 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 | 2021-08-06 | 2021-08-30 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-08-06 | 2021-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-06 | 2021-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-06 | 2021-08-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-08-06 | 2021-08-27 | 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 | 2021-08-06 | 2021-08-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-06 | 2021-08-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-03-06 | 2020-03-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-03-06 | 2020-03-27 | 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 | 2020-03-06 | 2020-03-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-06 | 2020-03-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-06 | 2020-03-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-03-06 | 2020-03-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-06 | 2020-03-27 | 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 | 2020-03-06 | 2020-03-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-06 | 2020-03-27 | 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 | 2020-03-06 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-06 | 2020-03-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-06 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-06 | 2020-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-05 | 2020-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-05 | 2020-03-24 | N |
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