Deficiency Records for Desert Peak Care Center
Updated as of October 01, 2023
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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-28 | 2023-05-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-28 | 2023-05-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-06 | 2023-04-18 | 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 | 2023-01-06 | 2023-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-06 | 2023-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-04-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-24 | 2023-04-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-06 | 2023-01-06 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-10-28 | 2022-12-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-28 | 2022-12-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-28 | 2022-12-16 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-10-28 | 2022-12-16 | 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 | 2022-10-28 | 2022-12-16 | 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 | 2022-10-28 | 2022-12-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-28 | 2022-12-16 | 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 | 2022-10-28 | 2022-12-16 | 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 | 2022-10-28 | 2022-12-16 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-28 | 2022-12-05 | N |
| 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 |
