A list of the most recent deficiencies for Brookdale Santa Catalina. 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 | 2023-01-05 | 2023-04-05 | 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 | 2023-01-05 | 2023-04-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-01-05 | 2023-04-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-01-05 | 2023-04-05 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-01-05 | 2023-04-05 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-01-05 | 2023-04-05 | 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 | 2023-01-05 | 2023-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-04-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-05 | 2023-04-05 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-05 | 2023-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-05 | 2023-04-05 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-01-05 | 2023-04-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-01-05 | 2023-04-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-01-05 | 2023-04-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-18 | 2022-09-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-14 | 2022-02-18 | 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 | 2022-01-14 | 2022-02-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-14 | 2022-02-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-01-14 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-14 | 2022-02-18 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-23 | 2019-10-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-23 | 2019-10-11 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-08-23 | 2019-10-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-22 | 2019-10-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-22 | 2019-10-02 | N |
| Respond appropriately to all alleged violations. | Health | 2019-08-22 | 2019-10-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-22 | 2019-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-22 | 2019-10-02 | N |
