Deficiency Records for Capistrano Beach Care Center
Updated as of November 01, 2018
This is not the most recent data for Capistrano Beach Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Capistrano Beach Care 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2018-09-05 | 2018-09-26 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2018-09-05 | 2018-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-05 | 2018-09-26 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-09-05 | 2018-09-26 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-06-05 | 2018-06-18 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-04-30 | 2018-05-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-30 | 2018-05-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-30 | 2018-05-30 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-30 | 2018-05-30 | Y |
| 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 ne | Health | 2018-04-30 | 2018-05-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-04-10 | 2018-05-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-10 | 2018-05-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-10 | 2018-05-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-04-10 | 2018-05-10 | 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 ne | Health | 2018-04-10 | 2018-05-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-10 | 2018-05-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-10 | 2018-05-10 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-03-09 | 2017-04-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-09 | 2017-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-09 | 2017-04-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-09 | 2017-04-09 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-09 | 2017-04-09 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-09 | 2017-04-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-09 | 2017-04-09 | N |
| Keep all essential equipment working safely. | Health | 2017-03-09 | 2017-04-09 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2017-03-09 | 2017-04-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-09 | 2017-04-09 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-09 | 2017-04-09 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-09 | 2017-04-09 | Y |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-03-09 | 2017-04-09 | Y |
| Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home. | Health | 2016-12-06 | 2016-12-18 | Y |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| Portable fire extinguishers. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-05-17 | 2016-06-06 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-04-21 | 2016-05-21 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-04-21 | 2016-05-21 | N |
| Maintain comfortable sound levels. | Health | 2016-04-21 | 2016-05-21 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-04-21 | 2016-05-21 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-04-21 | 2016-05-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-04-21 | 2016-05-21 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-21 | 2016-05-21 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-21 | 2016-05-21 | N |
| Dispose of garbage and refuse properly. | Health | 2016-04-21 | 2016-05-21 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-04-21 | 2016-05-21 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-21 | 2016-05-21 | N |
