A list of the most recent deficiencies for Desert Haven 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-01 | 2023-01-20 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-01 | 2022-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-01 | 2022-12-05 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-12-01 | 2022-12-05 | N |
| Post nurse staffing information every day. | Health | 2022-12-01 | 2022-12-05 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-12-01 | 2022-12-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-01 | 2022-12-05 | 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 | 2022-12-01 | 2022-12-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-01 | 2022-12-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-01 | 2022-12-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-04 | 2022-02-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-04 | 2022-02-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-04 | 2022-02-17 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-02-04 | 2022-02-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-04 | 2022-02-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-04 | 2022-02-17 | 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 | 2022-02-04 | 2022-02-17 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-27 | 2021-10-01 | 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 | 2021-08-27 | 2021-10-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-27 | 2021-10-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-27 | 2021-10-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-27 | 2021-09-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-08-27 | 2021-09-01 | 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 | 2021-08-27 | 2021-09-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-08-27 | 2021-09-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-08-27 | 2021-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-27 | 2021-09-01 | N |
| 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 | 2021-08-27 | 2021-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-27 | 2021-09-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-08-27 | 2021-09-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-06-05 | 2019-07-29 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-06-05 | 2019-07-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-06-05 | 2019-07-29 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-06-05 | 2019-07-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-05 | 2019-07-29 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-06-05 | 2019-07-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-05 | 2019-07-29 | 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 | 2019-06-05 | 2019-07-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-05 | 2019-07-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-06-07 | 2019-07-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-06-07 | 2019-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-07 | 2019-07-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-07 | 2019-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-07 | 2019-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-07 | 2019-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-07 | 2019-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-07 | 2019-07-12 | N |
