Deficiency Records for Desert Peak Care Center
Updated as of July 01, 2022
This is not the most recent data for Desert Peak Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Desert Peak 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? |
|---|---|---|---|---|
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-15 | 2022-06-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-15 | 2022-06-06 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-15 | 2022-06-06 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-04-15 | 2022-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-15 | 2022-06-06 | 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 | 2022-04-15 | 2022-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-15 | 2022-06-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-15 | 2022-06-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-15 | 2022-05-16 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-02-01 | 2021-03-19 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-02-01 | 2021-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-01 | 2021-03-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-01 | 2021-03-19 | N |
| Report COVID19 data to residents and families. | Health | 2021-02-01 | 2021-03-19 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-02-01 | 2021-03-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-02-01 | 2021-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-01 | 2021-03-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-12-16 | 2021-01-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-04 | 2020-10-08 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-09-04 | 2020-10-08 | 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 | 2020-09-04 | 2020-10-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-04 | 2020-10-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-09-04 | 2020-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-04 | 2020-10-08 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-25 | 2020-04-28 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-25 | 2020-04-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-25 | 2020-04-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-25 | 2020-04-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-25 | 2020-04-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-25 | 2020-04-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-25 | 2020-04-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-25 | 2020-04-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-25 | 2020-04-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-25 | 2020-04-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-25 | 2020-04-28 | N |
| Post nurse staffing information every day. | Health | 2020-02-25 | 2020-04-28 | 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 | 2020-02-25 | 2020-04-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-25 | 2020-04-28 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-02-21 | 2020-04-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-21 | 2020-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-21 | 2020-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-21 | 2020-04-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-21 | 2020-04-15 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-21 | 2020-04-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-15 | 2020-02-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-15 | 2020-02-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-15 | 2020-02-12 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-12-07 | 2019-06-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-12-07 | 2019-06-06 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-07 | 2019-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-07 | 2019-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-07 | 2019-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-12-07 | 2019-01-31 | 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 | 2018-12-07 | 2019-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-07 | 2019-01-31 | 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 | 2018-12-12 | 2019-01-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-12 | 2019-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-12 | 2019-01-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-12 | 2019-01-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-12 | 2019-01-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-08 | Not Fixed | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-07 | Not Fixed | N |
