Deficiency Records for Grant Cuesta Sub-Acute and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Grant Cuesta Sub-Acute 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? |
|---|---|---|---|---|
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-01-02 | 2024-01-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-01 | 2023-11-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-10-27 | 2023-11-26 | 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 | 2023-10-27 | 2023-11-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-27 | 2023-11-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-27 | 2023-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-27 | 2023-11-26 | 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 | 2023-10-27 | 2023-11-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-10-27 | 2023-11-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-27 | 2023-11-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-27 | 2023-11-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-27 | 2023-11-26 | 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 | 2023-10-27 | 2023-11-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-27 | 2023-11-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-27 | 2023-11-26 | 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 | 2023-10-27 | 2023-11-26 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-10-27 | 2023-11-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-27 | 2023-11-26 | N |
| Dispose of garbage and refuse properly. | Health | 2023-10-27 | 2023-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-27 | 2023-11-26 | 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 | 2023-10-27 | 2023-11-26 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-10-27 | 2023-11-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-21 | 2023-09-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-10 | 2023-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-11 | 2023-06-14 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-02-24 | 2023-03-17 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-01-10 | 2023-02-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-10 | 2023-02-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-10-01 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-18 | 2022-09-05 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-18 | 2022-09-05 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-11 | 2022-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-11 | 2022-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-10 | 2022-02-09 | 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 | 2022-01-10 | 2022-02-09 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-10 | 2022-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-10 | 2022-02-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-10 | 2022-02-09 | 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 | 2022-01-10 | 2022-02-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-10 | 2022-02-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-01-10 | 2022-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-10 | 2022-02-09 | 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 | 2022-01-10 | 2022-02-09 | 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 | 2022-01-10 | 2022-02-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-10 | 2022-02-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-10 | 2022-02-09 | N |
| Dispose of garbage and refuse properly. | Health | 2022-01-10 | 2022-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-09 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-01-10 | 2022-02-09 | 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 | 2022-01-10 | 2022-02-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-19 | 2021-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-19 | 2021-04-18 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-03-17 | 2021-04-01 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-25 | 2019-10-16 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-25 | 2019-10-16 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-09-25 | 2019-10-16 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-09-25 | 2019-10-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-25 | 2019-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-25 | 2019-10-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-08-16 | 2019-09-11 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-08-16 | 2019-09-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-16 | 2019-09-11 | 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 | 2019-08-16 | 2019-09-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-16 | 2019-09-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2019-09-11 | 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 | 2019-08-16 | 2019-09-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-16 | 2019-09-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-16 | 2019-09-11 | 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 | 2019-08-16 | 2019-09-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-08-16 | 2019-09-11 | 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 | 2019-08-16 | 2019-09-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-08-16 | 2019-09-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-16 | 2019-09-11 | 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 | 2019-08-16 | 2019-09-11 | N |
