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Deficiency Records for Casa Azul Skilled Nursing and Rehabilitation
A list of the most recent deficiencies for Casa Azul Skilled Nursing and Rehabilitation. 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 Casa Azul Skilled Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-07-19 | 2024-08-05 | Y |
| Keep all essential equipment working safely. | Health | 2024-04-25 | 2024-06-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-25 | 2024-06-15 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-04-06 | 2024-06-15 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-15 | 2024-04-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-03-15 | 2024-04-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-15 | 2024-04-15 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-03-15 | 2024-04-15 | 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 | 2024-03-15 | 2024-04-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-15 | 2024-04-15 | 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 | 2024-03-15 | 2024-04-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-15 | 2024-04-15 | 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 | 2024-03-15 | 2024-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-03-15 | 2024-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-14 | 2024-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-14 | 2024-03-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-14 | 2024-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-14 | 2024-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-31 | 2024-02-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-31 | 2024-02-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-31 | 2024-02-23 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-01 | 2023-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-01 | 2023-03-01 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-02-01 | 2023-03-01 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-02-01 | 2023-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-01 | 2023-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-01 | 2023-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-01 | 2023-03-01 | 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 | 2023-02-01 | 2023-03-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-02-01 | 2023-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-01 | 2023-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-31 | 2023-02-21 | 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 | 2021-11-10 | 2022-01-11 | N |
| Dispose of garbage and refuse properly. | Health | 2021-11-10 | 2022-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-09 | 2021-11-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-09 | 2021-11-11 | N |
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