Deficiency Records for Lemon Grove Care and Rehabilitation Center
Updated as of September 01, 2021
This is not the most recent data for Lemon Grove Care and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Lemon Grove Care 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-11 | 2021-06-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-19 | 2021-05-19 | 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 | 2021-02-16 | 2021-03-18 | 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 | 2020-10-09 | 2020-11-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-09 | 2020-11-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-17 | 2020-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-17 | 2020-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-17 | 2020-10-15 | 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 | 2020-09-17 | 2020-10-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-17 | 2020-10-15 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2020-09-02 | 2020-09-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-04-08 | 2020-07-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-03-05 | 2020-03-12 | 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 | 2020-01-28 | 2020-01-28 | Y |
| 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 | 2019-12-23 | 2020-01-20 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-12-23 | 2020-01-20 | Y |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-09-05 | 2019-10-07 | 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 | 2019-08-19 | 2019-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-19 | 2019-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-19 | 2019-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-19 | 2019-09-20 | N |
| Provide appropriate foot care. | Health | 2019-08-19 | 2019-09-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-19 | 2019-09-20 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-19 | 2019-09-20 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-19 | 2019-09-20 | 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 | 2019-08-19 | 2019-09-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-19 | 2019-09-20 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-08-19 | 2019-09-20 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-08-19 | 2019-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-19 | 2019-09-20 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-08-19 | 2019-09-20 | N |
| Keep all essential equipment working safely. | Health | 2019-08-19 | 2019-09-20 | 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 | 2019-08-19 | 2019-09-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-29 | 2019-08-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-05 | 2019-07-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-05 | 2019-07-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-05 | 2019-07-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-05 | 2019-07-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-05 | 2019-07-30 | 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 | 2019-07-05 | 2019-07-30 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-07-05 | 2019-07-26 | 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 | 2019-05-20 | 2019-06-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-20 | 2019-06-29 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-05-20 | 2019-06-29 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-17 | 2019-05-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-04-17 | 2019-05-19 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-10-16 | 2018-11-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-16 | 2018-11-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-16 | 2018-11-06 | 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 | 2018-08-02 | 2018-09-02 | 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 | 2018-08-02 | 2018-09-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-02 | 2018-09-02 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-08-02 | 2018-09-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-08-02 | 2018-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-02 | 2018-09-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-06-08 | 2017-08-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-08 | 2017-08-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-08 | 2017-08-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-06-08 | 2017-08-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-06-08 | 2017-08-10 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-08 | 2017-08-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-08 | 2017-08-10 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-08 | 2017-08-10 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-06-08 | 2017-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-06-08 | 2017-08-10 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-06-08 | 2017-08-10 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-06-08 | 2017-08-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-08 | 2017-08-10 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2017-06-08 | 2017-08-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-06-08 | 2017-08-10 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-06-08 | 2017-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-06-21 | 2017-07-25 | N |
| Construct fire resistant interior walls. | Fire Safety | 2017-06-21 | 2017-07-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-21 | 2017-07-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-21 | 2017-07-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-06-21 | 2017-07-25 | 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 | 2018-08-02 | Not Fixed | N |
