A list of the most recent deficiencies for Villa Coronado D/p Snf. 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? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-11-01 | 2023-11-11 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-22 | 2023-07-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-22 | 2023-07-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-22 | 2023-07-22 | 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 | 2023-06-22 | 2023-07-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-22 | 2023-07-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-22 | 2023-07-22 | 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 | 2023-06-22 | 2023-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-22 | 2023-07-22 | 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 | 2023-06-22 | 2023-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-22 | 2023-07-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-22 | 2023-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-22 | 2023-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-26 | 2023-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-26 | 2023-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-26 | 2023-07-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-22 | 2022-08-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-24 | 2021-08-25 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-09-17 | 2019-11-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-09-17 | 2019-11-04 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-22 | 2019-09-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-22 | 2019-09-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-22 | 2019-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-22 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-17 | 2018-11-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-08-02 | 2018-08-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-08-02 | 2018-08-28 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-08-02 | 2018-08-28 | 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 | 2018-08-02 | 2018-08-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-08-02 | 2018-08-28 | 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 | 2018-08-02 | 2018-08-28 | 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 | 2018-08-02 | 2018-08-28 | N |
