Deficiency Records for Ramona Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Ramona Nursing and Rehabilitation 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? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-23 | 2023-06-09 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-16 | 2023-06-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-16 | 2023-06-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-06-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-04-19 | 2023-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-29 | 2022-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-29 | 2022-09-29 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-04-28 | 2022-05-13 | Y |
| 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 | 2022-03-03 | 2022-05-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-01-05 | 2022-04-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-08 | 2022-04-08 | Y |
| 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 | 2022-04-08 | 2022-04-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-01 | 2022-03-11 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-21 | 2021-12-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-21 | 2021-12-01 | N |
| 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 | 2021-10-21 | 2021-12-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-21 | 2021-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-21 | 2021-12-01 | 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 | 2021-10-21 | 2021-12-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-10-21 | 2021-12-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-21 | 2021-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-21 | 2021-12-01 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-10-21 | 2021-12-01 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-10-21 | 2021-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-21 | 2021-12-01 | 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 | 2021-10-21 | 2021-12-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-21 | 2021-12-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2021-10-21 | 2021-12-01 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-10-21 | 2021-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-12-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-10-21 | 2021-12-01 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-20 | 2021-11-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-20 | 2021-11-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-10-20 | 2021-11-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-20 | 2021-11-10 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-10-20 | 2021-11-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-20 | 2021-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-18 | 2021-11-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-23 | 2021-10-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-07-09 | 2021-09-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-24 | 2020-04-06 | N |
| 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 | 2020-02-24 | 2020-04-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-24 | 2020-04-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-24 | 2020-04-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-24 | 2020-04-06 | 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 | 2020-02-24 | 2020-04-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-24 | 2020-04-06 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-24 | 2020-04-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-24 | 2020-04-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-02-24 | 2020-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-24 | 2020-04-06 | 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 | 2020-02-24 | 2020-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-24 | 2020-04-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-24 | 2020-04-06 | 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 | 2020-02-24 | 2020-04-06 | N |
| Post nurse staffing information every day. | Health | 2020-02-24 | 2020-04-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-24 | 2020-04-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-24 | 2020-04-06 | 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 | 2020-02-24 | 2020-04-06 | 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 | 2020-02-24 | 2020-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-24 | 2020-04-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2020-02-24 | 2020-04-06 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2020-02-24 | 2020-04-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-24 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-24 | 2020-04-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-02-24 | 2020-04-06 | N |
| Keep all essential equipment working safely. | Health | 2020-02-24 | 2020-04-06 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-27 | 2020-03-24 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-02-27 | 2020-03-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-27 | 2020-03-24 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2020-02-27 | 2020-03-24 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-02-11 | 2019-03-26 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-02-11 | 2019-03-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-02-11 | 2019-03-26 | 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 | 2019-02-11 | 2019-03-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-02-11 | 2019-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-11 | 2019-03-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-11 | 2019-03-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-02-11 | 2019-03-26 | 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 | 2019-02-11 | 2019-03-26 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-02-11 | 2019-03-26 | 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 | 2019-02-11 | 2019-03-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-11 | 2019-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-11 | 2019-03-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-11 | 2019-03-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-02-12 | 2019-03-14 | N |
