A list of the most recent deficiencies for La Paloma Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-17 | 2023-09-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-01 | 2023-09-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-11 | 2023-05-25 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-02-24 | 2023-03-23 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-13 | 2022-10-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-13 | 2022-10-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-09 | 2021-08-16 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-07-09 | 2021-08-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-09 | 2021-08-16 | 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 | 2021-07-09 | 2021-08-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-08-16 | 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 | 2021-07-09 | 2021-08-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-09 | 2021-08-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-09 | 2021-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-08-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-09 | 2021-08-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-09 | 2021-08-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-09 | 2021-08-16 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-13 | 2021-07-29 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-13 | 2021-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-13 | 2021-07-29 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-03-17 | 2021-04-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-03-17 | 2021-04-09 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-07 | 2019-06-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-26 | 2019-06-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-04-26 | 2019-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-26 | 2019-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-26 | 2019-06-06 | 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 | 2019-04-26 | 2019-06-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-26 | 2019-06-06 | 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 | 2019-04-26 | 2019-06-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-04-26 | 2019-06-06 | 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 | 2019-04-26 | 2019-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-26 | 2019-06-06 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-04-26 | 2019-06-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-26 | 2019-06-06 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
| Develop a communication plan. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-20 | 2018-07-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-04-20 | 2018-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-20 | 2018-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-20 | 2018-05-22 | N |
