A list of the most recent deficiencies for Mount San Antonio Gardens. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-26 | 2023-06-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-26 | 2023-06-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-26 | 2023-06-16 | 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 | 2023-05-26 | 2023-06-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-26 | 2023-06-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-26 | 2023-06-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-05-26 | 2023-06-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-05-25 | 2023-06-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-25 | 2023-06-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-25 | 2023-06-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-25 | 2023-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-25 | 2023-06-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-06 | 2020-03-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-06 | 2020-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-06 | 2020-03-02 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-06 | 2020-03-02 | 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 | 2020-02-06 | 2020-03-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-06 | 2020-03-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-06 | 2020-03-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-06 | 2020-03-02 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-02-06 | 2020-03-02 | N |
| Post nurse staffing information every day. | Health | 2020-02-06 | 2020-03-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-06 | 2020-03-02 | 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 | 2020-02-06 | 2020-03-02 | 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 | 2020-02-06 | 2020-03-02 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-02-06 | 2020-03-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-04 | 2020-02-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-01 | 2019-03-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-01 | 2019-03-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-01 | 2019-03-14 | N |
| Post nurse staffing information every day. | Health | 2019-02-01 | 2019-03-14 | 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 | 2019-02-01 | 2019-03-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-02-01 | 2019-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-01 | 2019-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-01 | 2019-03-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-01 | 2019-03-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-29 | 2019-02-27 | N |
