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Deficiency Records for Las Brisas Rehabilitation and Wellness Suites
A list of the most recent deficiencies for Las Brisas Rehabilitation and Wellness Suites. 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 Las Brisas Rehabilitation and Wellness Suites. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-18 | 2023-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-18 | 2023-09-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-18 | 2023-09-21 | 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 | 2023-09-18 | 2023-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-18 | 2023-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-18 | 2023-09-20 | 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 | 2023-09-13 | 2023-09-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-13 | 2023-09-16 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-16 | 2023-08-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-16 | 2023-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-06-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-16 | 2023-06-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-26 | 2023-04-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-05 | 2023-04-05 | 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 | 2023-02-09 | 2023-02-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-09 | 2023-02-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-02-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-29 | 2022-12-30 | 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 | 2022-12-01 | 2022-12-19 | 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 | 2022-12-01 | 2022-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2022-11-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-10-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-17 | 2022-09-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-17 | 2022-09-30 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-29 | 2022-08-27 | Y |
| 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 | 2022-07-29 | 2022-08-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-29 | 2022-08-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-29 | 2022-08-27 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-07-28 | 2022-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-28 | 2022-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-28 | 2022-08-19 | 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 | 2022-07-28 | 2022-07-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-07-28 | 2022-07-30 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2022-07-28 | 2022-07-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-28 | 2022-07-30 | 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 | 2021-05-24 | 2021-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-24 | 2021-05-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-24 | 2021-05-25 | 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 | 2021-05-24 | 2021-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-24 | 2021-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-24 | 2021-05-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-24 | 2021-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-24 | 2021-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-20 | 2021-05-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-20 | 2021-05-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-20 | 2021-05-21 | N |
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