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Deficiency Records for Vista Del Sol Care Center
A list of the most recent deficiencies for Vista Del Sol 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 Vista Del Sol 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-29 | 2024-04-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-25 | 2024-04-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-25 | 2024-04-22 | 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 | 2024-03-25 | 2024-04-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-25 | 2024-04-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-03-25 | 2024-04-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-25 | 2024-04-22 | N |
| Respond appropriately to all alleged violations. | Health | 2024-03-25 | 2024-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-25 | 2024-04-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-25 | 2024-04-22 | 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 | 2024-03-25 | 2024-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-25 | 2024-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-25 | 2024-04-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-25 | 2024-04-22 | 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 | 2024-03-25 | 2024-04-22 | N |
| Post nurse staffing information every day. | Health | 2024-03-25 | 2024-04-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-25 | 2024-04-22 | 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 | 2024-03-25 | 2024-04-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-25 | 2024-04-22 | 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 | 2024-03-25 | 2024-04-22 | 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 | 2024-03-25 | 2024-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-25 | 2024-04-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-03-25 | 2024-04-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-25 | 2024-04-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-03-25 | 2024-04-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-03-25 | 2024-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-10 | 2024-01-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-11-18 | 2023-12-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-17 | 2023-06-17 | 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 | 2023-05-17 | 2023-06-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-11 | 2023-05-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-16 | 2023-03-24 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-12-22 | 2023-01-12 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-12-22 | 2023-01-12 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-06 | 2022-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-29 | 2022-04-11 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-03-29 | 2022-04-11 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-02-06 | 2022-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-02-06 | 2022-03-07 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-02-06 | 2022-03-07 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-02-06 | 2022-03-07 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-02-06 | 2022-03-07 | 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 | 2022-02-06 | 2022-03-07 | 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 | 2022-02-06 | 2022-03-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-02-06 | 2022-03-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-06 | 2022-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-06 | 2022-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-06 | 2022-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-02-06 | 2022-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-06 | 2022-03-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-02-06 | 2022-03-07 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2022-02-06 | 2022-03-07 | N |
| Post nurse staffing information every day. | Health | 2022-02-06 | 2022-03-07 | 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 | 2022-02-06 | 2022-03-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-06 | 2022-03-07 | 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 | 2022-02-06 | 2022-03-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-02-06 | 2022-03-07 | 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 | 2022-02-06 | 2022-03-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-02-06 | 2022-03-07 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2022-02-06 | 2022-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-06 | 2022-03-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-06 | 2022-03-07 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-02-06 | 2022-03-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-07 | 2022-03-05 | 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 | 2022-02-07 | 2022-03-05 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2022-02-07 | 2022-03-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-28 | 2022-01-12 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-09-08 | 2019-10-11 | 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 | 2019-09-08 | 2019-10-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-09-08 | 2019-10-11 | 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 | 2019-09-08 | 2019-10-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-08 | 2019-10-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-08 | 2019-10-11 | 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 | 2019-09-10 | 2019-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-10 | 2019-10-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-10 | 2019-10-06 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-09-10 | 2019-10-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-10 | 2019-10-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-10 | 2019-10-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-09-10 | 2019-10-06 | N |
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