A list of the most recent deficiencies for Central Gardens Post Acute. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-26 | 2023-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-26 | 2023-06-24 | 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 | 2023-05-26 | 2023-06-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-26 | 2023-06-24 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-05-26 | 2023-06-24 | 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 | 2023-05-26 | 2023-06-24 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-26 | 2023-06-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-26 | 2023-06-24 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-31 | 2023-06-20 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-19 | 2023-06-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-19 | 2023-06-06 | 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 | 2023-03-14 | 2023-04-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-14 | 2023-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-14 | 2023-04-04 | Y |
| Keep all essential equipment working safely. | Health | 2023-03-15 | 2023-03-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-13 | 2023-03-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-03-13 | 2023-03-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-24 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-24 | 2022-04-14 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-24 | 2022-04-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-24 | 2022-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-08 | 2021-10-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-06 | 2019-11-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-06 | 2019-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-11-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-06 | 2019-11-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-06 | 2019-11-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-04 | 2019-11-12 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-04 | 2019-11-12 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-04 | 2019-11-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-10-04 | 2019-11-12 | 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 | 2019-10-04 | 2019-11-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-04 | 2019-11-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-04 | 2019-11-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-04 | 2019-11-12 | N |
| Use approved construction type or materials. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-12-13 | 2019-01-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-11 | 2018-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-11 | 2018-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-11 | 2018-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-11 | 2018-12-14 | 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 | 2018-10-11 | 2018-12-14 | 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 | 2018-10-11 | 2018-12-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-10-11 | 2018-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-11 | 2018-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-11 | 2018-12-14 | N |
