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Deficiency Records for Monrovia Post Acute
View the most recent health deficiencies and inspection results for Monrovia Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Monrovia Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-02-12 | 2026-03-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-02-06 | 2026-02-26 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2026-02-06 | 2026-02-26 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2026-01-06 | 2026-01-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-10-27 | 2025-11-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-10-27 | 2025-11-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-20 | 2025-09-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-20 | 2025-09-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-20 | 2025-09-12 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2025-08-20 | 2025-09-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-20 | 2025-09-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-20 | 2025-09-12 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-08-20 | 2025-09-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-20 | 2025-09-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-10 | 2025-06-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-15 | 2025-06-06 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-05-15 | 2025-06-05 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-15 | 2025-06-04 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-05-15 | 2025-06-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-03-06 | 2025-04-16 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-03-20 | 2025-04-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-20 | 2025-04-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-03-06 | 2025-04-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-04-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-06 | 2025-04-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-06 | 2025-04-07 | 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 | 2025-02-21 | 2025-03-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-21 | 2025-03-11 | N |
| Provide activities to meet all resident's needs. | Health | 2025-02-21 | 2025-03-07 | 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 | 2025-02-21 | 2025-03-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-21 | 2025-03-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-21 | 2025-03-06 | 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 | 2025-02-21 | 2025-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-21 | 2025-02-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-02-21 | 2025-02-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-02-21 | 2025-02-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-21 | 2025-02-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-02-21 | 2025-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-22 | 2024-08-15 | 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 | 2024-07-22 | 2024-08-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-05 | 2024-04-29 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-04-05 | 2024-04-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-08 | 2024-03-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-08 | 2024-03-26 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-02-08 | 2024-03-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-08 | 2024-03-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-08 | 2024-03-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-02-08 | 2024-03-26 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-02-08 | 2024-03-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-08 | 2024-03-26 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2024-02-08 | 2024-03-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-26 | 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 | 2024-02-08 | 2024-02-09 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-02-08 | 2024-02-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-02-08 | 2024-02-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-08 | 2024-02-09 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-02-08 | 2024-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-04 | 2023-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-05 | 2023-07-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-05 | 2023-07-24 | Y |
| 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 | 2021-07-01 | 2021-08-04 | 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 | 2021-07-01 | 2021-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-01 | 2021-08-04 | N |
| Post nurse staffing information every day. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-01 | 2021-08-04 | 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 | 2021-07-01 | 2021-08-04 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-07-01 | 2021-08-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-01 | 2021-08-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-01 | 2021-08-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-01 | 2021-08-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-01 | 2021-08-04 | 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 | 2021-07-01 | 2021-08-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-01 | 2021-08-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-01 | 2021-08-04 | 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 | 2021-07-01 | 2021-08-04 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-07-01 | 2021-08-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-01 | 2021-08-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-07-01 | 2021-08-04 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-07-01 | 2021-08-04 | N |