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Deficiency Records for Ridgecrest Regional Transitional Care and Rehabili
A list of the most recent deficiencies for Ridgecrest Regional Transitional Care and Rehabili. 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 Ridgecrest Regional Transitional Care and Rehabili. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-08 | 2024-07-21 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-05-14 | 2024-06-14 | 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 | 2024-05-14 | 2024-06-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-14 | 2024-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-29 | 2024-05-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-01 | 2024-05-28 | 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 | 2024-03-14 | 2024-04-05 | N |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-03-14 | 2024-04-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-14 | 2024-04-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-14 | 2024-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-17 | 2023-12-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-17 | 2023-12-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-09 | 2023-10-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-09 | 2023-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-09 | 2023-10-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-17 | 2023-02-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-15 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-07-14 | 2022-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-08-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-18 | 2022-08-02 | 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 | 2022-07-18 | 2022-08-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-08-06 | 2020-08-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-02-27 | 2020-05-21 | 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 | 2020-02-27 | 2020-05-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-27 | 2020-05-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-27 | 2020-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-05-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-27 | 2020-05-21 | 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 | 2020-02-27 | 2020-05-21 | 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 | 2020-02-27 | 2020-05-21 | 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 | 2020-02-27 | 2020-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2020-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-05-21 | N |
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