Deficiency Records for Estrella Health and Rehabilitation Center
Updated as of July 01, 2018
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? |
|---|---|---|---|---|
| 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 | 2018-05-11 | 2018-06-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-11 | 2018-06-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-05-11 | 2018-06-25 | 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 | 2018-05-11 | 2018-06-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-11 | 2018-06-25 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-05-11 | 2018-06-25 | 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 | 2018-05-11 | 2018-06-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-11 | 2018-06-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-11 | 2018-06-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-05-22 | 2018-06-18 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-05-22 | 2018-06-18 | N |
| 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 |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-08 | 2017-03-31 | 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 |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-02-02 | 2016-03-21 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-02-02 | 2016-03-21 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-02-02 | 2016-03-21 | N |
