Deficiency Records for Estrella Health and Rehabilitation Center
Updated as of August 01, 2017
This is not the most recent data for Estrella Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Estrella Health and Rehabilitation 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? |
---|---|---|---|---|
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-03-10 | 2017-04-11 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-10 | 2017-04-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-10 | 2017-04-11 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-10 | 2017-04-11 | N |
Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-01-20 | 2017-03-03 | Y |
Provide activities to meet the interests and needs of each resident. | Health | 2016-02-05 | 2016-04-13 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-02-05 | 2016-04-13 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-02-05 | 2016-04-13 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-02-05 | 2016-04-13 | N |
Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-05 | 2016-04-13 | N |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-02-05 | 2016-04-13 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-05 | 2016-04-13 | N |
Allow residents to self-administer drugs if determined safe. | Health | 2016-02-05 | 2016-04-13 | Y |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-02-05 | 2016-04-13 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-05 | 2016-04-13 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-02-05 | 2016-04-13 | Y |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-02-05 | 2016-04-13 | Y |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-02-05 | 2016-04-13 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-05 | 2016-04-13 | Y |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-02-05 | 2016-04-13 | Y |
Make sure that all required doctor visits are made personally. | Health | 2016-02-05 | 2016-04-13 | Y |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-05 | 2016-04-13 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-12-05 | 2015-02-12 | N |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-12-05 | 2015-02-12 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-12-05 | 2015-02-12 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2014-12-05 | 2015-02-12 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-12-05 | 2015-02-12 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-12-05 | 2015-02-12 | N |
Ensure residents maintain acceptable nutritional status. | Health | 2014-12-05 | 2015-02-12 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-12-05 | 2015-02-12 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-12-05 | 2015-02-12 | N |
Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2014-12-05 | 2015-02-12 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2014-12-05 | 2015-02-12 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-12-05 | 2015-02-12 | N |
Keep all essential equipment working safely. | Health | 2014-12-05 | 2015-02-12 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-12-05 | 2015-02-12 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2014-12-05 | 2015-02-12 | Y |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-12-05 | 2015-02-12 | Y |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2014-12-05 | 2015-02-12 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2014-12-05 | 2015-02-12 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-12-05 | 2015-02-12 | Y |
1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2014-09-11 | 2014-10-30 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2014-09-11 | 2014-10-30 | Y |
Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2014-09-11 | 2014-10-30 | Y |
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-09-11 | 2014-10-30 | Y |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-09-11 | 2014-10-30 | Y |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-09-11 | 2014-10-30 | Y |
Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2014-09-11 | 2014-10-30 | Y |