Deficiency Records for Catalina Post Acute and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Catalina Post Acute and Rehabilitation. 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 that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-07-07 | 2023-08-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-07 | 2023-08-28 | 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 | 2023-07-07 | 2023-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-07 | 2023-08-28 | N |
| Dispose of garbage and refuse properly. | Health | 2023-07-07 | 2023-08-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-07 | 2023-08-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-07 | 2023-08-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-24 | 2023-05-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-21 | 2022-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-21 | 2022-09-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-07-21 | 2022-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-21 | 2022-09-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-21 | 2022-09-02 | 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 | 2022-07-21 | 2022-09-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-21 | 2022-09-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-21 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-21 | 2022-09-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-05-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-10 | 2022-05-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-10 | 2022-05-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-24 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-04-29 | 2021-05-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-13 | 2020-05-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-13 | 2020-05-11 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-12-27 | Not Fixed | Y |
