A list of the most recent deficiencies for La Mesa 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-12 | 2023-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-12 | 2023-11-16 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-06-05 | 2023-07-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-05 | 2023-07-05 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-01-17 | 2023-01-31 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-01-17 | 2023-01-31 | 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 | 2022-07-08 | 2022-08-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-08 | 2022-08-09 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-02 | 2022-01-02 | 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 | 2021-12-02 | 2022-01-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-02 | 2022-01-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-02 | 2022-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-02 | 2022-01-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-07 | 2021-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-07 | 2021-12-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-07 | 2021-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-07 | 2021-12-30 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-11-09 | 2021-12-10 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-11-09 | 2021-12-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-09 | 2021-12-10 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-10-26 | 2021-11-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-21 | 2021-10-27 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-21 | 2019-07-10 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-05-21 | 2019-07-10 | 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 | 2019-05-21 | 2019-07-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-21 | 2019-07-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-21 | 2019-07-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-09 | 2019-06-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-05-09 | 2019-06-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-09 | 2019-06-25 | 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 | 2019-05-09 | 2019-06-25 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-05-09 | 2019-06-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-05-09 | 2019-06-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-09 | 2019-06-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-09 | 2019-06-25 | 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 | 2019-05-09 | 2019-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-09 | 2019-06-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-05-09 | 2019-06-25 | 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 | 2019-05-09 | 2019-06-25 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-05-09 | 2019-06-25 | 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 | 2019-05-09 | 2019-06-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-09 | 2019-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-09 | 2019-06-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-05-09 | 2019-06-25 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-05-09 | 2019-06-25 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-25 | 2018-08-15 | N |
| Develop a communication plan. | Fire Safety | 2018-07-25 | 2018-08-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-25 | 2018-08-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-25 | 2018-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-25 | 2018-08-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-07-25 | 2018-08-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-25 | 2018-08-15 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-05-04 | 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 | 2018-05-04 | 2018-05-22 | N |
