A list of the most recent deficiencies for Bellflower 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? |
|---|---|---|---|---|
| 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 | 2023-07-15 | 2023-08-11 | Y |
| 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 | 2023-07-15 | 2023-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-23 | 2022-09-11 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-08-23 | 2022-09-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-27 | 2022-08-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-11 | 2022-07-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-10 | 2022-06-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-10 | 2022-06-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-10 | 2022-06-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-10 | 2022-06-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-08 | 2022-03-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-08 | 2022-03-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-01-20 | 2022-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-20 | 2022-02-18 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-01-20 | 2022-02-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-01-20 | 2022-02-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-20 | 2022-02-18 | 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 | 2022-01-21 | 2022-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-21 | 2022-02-16 | 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 | 2022-01-21 | 2022-02-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-21 | 2022-02-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-01-21 | 2022-02-16 | 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 | 2022-01-21 | 2022-02-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-21 | 2022-02-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-21 | 2022-02-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-21 | 2022-02-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-21 | 2022-02-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-21 | 2022-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-02-16 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-21 | 2022-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-21 | 2022-02-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-17 | 2021-12-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-17 | 2021-12-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-08 | 2021-10-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-09-08 | 2021-10-06 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-22 | 2019-05-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-22 | 2019-05-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-04-22 | 2019-05-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-04-22 | 2019-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-22 | 2019-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-22 | 2019-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-22 | 2019-05-17 | 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 | 2019-04-22 | 2019-05-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-22 | 2019-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-22 | 2019-05-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-22 | 2019-05-17 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-04-22 | 2019-05-17 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-04-22 | 2019-05-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-04-22 | 2019-05-17 | 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 | 2019-04-22 | 2019-05-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-22 | 2019-05-17 | 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 | 2019-04-22 | 2019-05-17 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-22 | 2019-05-17 | 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 | 2019-04-22 | 2019-05-17 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2019-04-22 | 2019-05-17 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-04-22 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-22 | 2019-05-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-22 | 2019-05-17 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-22 | 2019-05-17 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-22 | 2019-05-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-18 | 2019-05-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-28 | 2018-06-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-28 | 2018-06-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-04-28 | 2018-06-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-04-28 | 2018-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-04-28 | 2018-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-28 | 2018-06-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-28 | 2018-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-04-28 | 2018-05-18 | 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 | 2018-04-28 | 2018-05-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-04-28 | 2018-05-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-28 | 2018-05-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-28 | 2018-05-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-28 | 2018-05-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-28 | 2018-05-18 | 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 | 2018-04-28 | 2018-05-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-28 | 2018-05-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-28 | 2018-05-18 | 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 | 2018-04-28 | 2018-05-18 | 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 | 2018-04-28 | 2018-05-18 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-04-28 | 2018-05-18 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-04-28 | 2018-05-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-04-28 | 2018-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-28 | 2018-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-28 | 2018-05-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-28 | 2018-05-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-04-28 | 2018-05-18 | N |
