CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Lemon Grove Care and Rehabilitation Center
View the most recent health deficiencies and inspection results for Lemon Grove Care and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lemon Grove Care and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-12-18 | 2026-01-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-12-18 | 2026-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-18 | 2026-01-17 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-12-18 | 2026-01-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-12-18 | 2026-01-17 | 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 | 2025-12-18 | 2026-01-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-12-18 | 2026-01-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-12-18 | 2026-01-17 | 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 | 2025-12-18 | 2026-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-12-18 | 2026-01-17 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2025-12-18 | 2026-01-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-12-18 | 2026-01-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-18 | 2026-01-17 | N |
| Provide activities to meet all resident's needs. | Health | 2025-12-18 | 2026-01-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-18 | 2026-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-18 | 2026-01-17 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-18 | 2026-01-17 | N |
| Respond appropriately to all alleged violations. | Health | 2025-12-18 | 2026-01-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-18 | 2026-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-18 | 2026-01-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-12-18 | 2026-01-17 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-12-18 | 2026-01-17 | N |
| Keep all essential equipment working safely. | Health | 2025-12-18 | 2026-01-17 | 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 | 2025-12-18 | 2026-01-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-12-18 | 2025-12-29 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2025-12-18 | 2025-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-18 | 2025-12-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-12-27 | 2025-01-08 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2024-12-12 | 2024-12-22 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-12-12 | 2024-12-22 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-10-17 | 2024-11-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-05 | 2024-09-25 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-15 | 2024-09-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-15 | 2024-09-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-09-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-15 | 2024-09-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-15 | 2024-09-05 | 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 | 2024-08-15 | 2024-09-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-15 | 2024-09-05 | 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 | 2024-08-15 | 2024-09-05 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-08-15 | 2024-09-05 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-15 | 2024-09-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-15 | 2024-09-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-15 | 2024-09-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-08 | 2024-03-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-08 | 2024-03-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-08 | 2024-03-05 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-02-08 | 2024-03-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-09-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-12 | 2023-09-25 | Y |
| 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 | 2023-07-12 | 2023-09-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-17 | 2023-09-12 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-12 | 2023-09-06 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2023-07-12 | 2023-09-06 | Y |
| Implement a program that monitors antibiotic use. | Health | 2023-07-12 | 2023-09-06 | Y |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2022-03-17 | 2022-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-05-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-17 | 2022-05-11 | 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 | 2022-03-17 | 2022-05-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-03-17 | 2022-05-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-17 | 2022-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-05-11 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-03-17 | 2022-05-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-03-17 | 2022-05-11 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-17 | 2022-04-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-17 | 2022-04-07 | N |