Deficiency Records for Estrella Health and Rehabilitation Center
Updated as of March 01, 2024
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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-01 | 2023-07-10 | Y |
| 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 | 2022-12-09 | 2023-01-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-12-09 | 2023-01-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-09 | 2023-01-20 | Y |
| 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 | 2022-12-09 | 2023-01-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-09 | 2023-01-20 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-18 | 2022-09-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-18 | 2022-09-29 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-07-28 | 2022-08-12 | Y |
| Post nurse staffing information every day. | Health | 2021-09-17 | 2021-11-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-17 | 2021-11-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-09-17 | 2021-11-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-17 | 2021-11-15 | N |
| Meet other general requirements. | Fire Safety | 2021-09-17 | 2021-10-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-17 | 2021-10-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-17 | 2021-10-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-12 | 2021-05-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-12 | 2021-05-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-12 | 2021-05-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-12 | 2021-05-04 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-04-09 | 2021-05-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-09 | 2021-05-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-09 | 2021-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-09 | 2021-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-04-09 | 2021-05-03 | N |
