A list of the most recent deficiencies for Monterey Park Conv Hosp. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-26 | 2023-10-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-26 | 2023-10-23 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-15 | 2023-03-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-24 | 2023-02-24 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-16 | 2022-04-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-25 | 2022-02-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-10-23 | 2021-11-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-23 | 2021-11-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-23 | 2021-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-23 | 2021-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-23 | 2021-11-30 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-10-22 | 2021-11-17 | N |
| 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 | 2021-10-22 | 2021-11-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-22 | 2021-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-10-22 | 2021-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-22 | 2021-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-22 | 2021-11-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-10-22 | 2021-11-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-22 | 2019-09-20 | 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 | 2019-09-20 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-08-22 | 2019-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-22 | 2019-09-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-22 | 2019-09-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-22 | 2019-09-20 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-08-22 | 2019-09-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-08-21 | 2019-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-21 | 2019-09-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-21 | 2019-09-16 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-08-21 | 2019-09-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-09-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-08-25 | 2018-10-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-25 | 2018-10-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-25 | 2018-10-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-25 | 2018-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-08-25 | 2018-10-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-08-25 | 2018-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-25 | 2018-10-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-08-25 | 2018-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-25 | 2018-10-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-08-25 | 2018-10-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-07 | 2018-10-10 | 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 | 2018-09-07 | 2018-10-10 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2018-09-07 | 2018-10-10 | N |
