Deficiency Records for Montecito Heights Healthcare and Wellness Centre, LP
Updated as of April 01, 2024
A list of the most recent deficiencies for Montecito Heights Healthcare and Wellness Centre, LP. 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? |
|---|---|---|---|---|
| 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 | 2023-06-01 | 2023-07-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-01 | 2023-07-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-12 | 2023-05-12 | Y |
| 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 | 2023-04-12 | 2023-05-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-13 | 2022-08-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-02 | 2022-03-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-02 | 2022-03-02 | 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 | 2022-02-04 | 2022-03-01 | 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 | 2022-02-04 | 2022-03-01 | 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 | 2022-02-04 | 2022-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-04 | 2022-03-01 | 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 | 2022-02-04 | 2022-03-01 | 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 | 2022-02-04 | 2022-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-04 | 2022-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-04 | 2022-03-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-02-04 | 2022-03-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-04 | 2022-03-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-04 | 2022-03-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-04 | 2022-03-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-19 | 2019-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-19 | 2019-10-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-19 | 2019-10-31 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-09-18 | 2019-10-25 | N |
| Respond appropriately to all alleged violations. | Health | 2019-09-18 | 2019-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-18 | 2019-10-25 | 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 | 2019-09-18 | 2019-10-25 | 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 | 2019-09-18 | 2019-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-18 | 2019-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-18 | 2019-10-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-09-18 | 2019-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-18 | 2019-10-25 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-13 | 2018-10-30 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-09-13 | 2018-10-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-09-13 | 2018-10-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-09-13 | 2018-10-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-13 | 2018-10-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-09-10 | 2018-10-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-09-10 | 2018-10-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-09-10 | 2018-10-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-10 | 2018-10-09 | 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 | 2018-09-10 | 2018-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-10 | 2018-10-09 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2018-09-10 | 2018-10-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-09-10 | 2018-10-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-10 | 2018-10-09 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-09-18 | Not Fixed | N |
