A list of the most recent deficiencies for Bonita Hills 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2023-08-28 | 2023-10-11 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-07 | 2023-10-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-14 | 2023-03-27 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-10-06 | 2022-10-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-18 | 2022-03-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-01-14 | 2022-02-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-14 | 2022-02-14 | N |
| Post nurse staffing information every day. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-01-14 | 2022-02-14 | 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 | 2022-01-14 | 2022-02-14 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-01-14 | 2022-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-14 | 2022-02-14 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-01-14 | 2022-02-14 | N |
| Dispose of garbage and refuse properly. | Health | 2022-01-14 | 2022-02-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-01-14 | 2022-02-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-14 | 2022-02-14 | N |
| Keep all essential equipment working safely. | Health | 2022-01-14 | 2022-02-14 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-01-14 | 2022-02-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-14 | 2022-02-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-18 | 2020-01-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-18 | 2020-01-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-18 | 2020-01-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-18 | 2020-01-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-06 | 2019-12-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-06 | 2019-12-29 | N |
| Respond appropriately to all alleged violations. | Health | 2019-12-06 | 2019-12-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-12-06 | 2019-12-29 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-12-06 | 2019-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2019-12-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-12-06 | 2019-12-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-06 | 2019-12-29 | 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 | 2019-12-06 | 2019-12-29 | 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 | 2019-12-06 | 2019-12-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-06 | 2019-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2019-12-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-06 | 2019-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-06 | 2019-12-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-12-06 | 2019-12-29 | N |
| Keep all essential equipment working safely. | Health | 2019-12-06 | 2019-12-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-12-06 | 2019-12-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-20 | 2019-03-13 | 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 | 2019-02-20 | 2019-03-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-02-20 | 2019-03-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-05 | 2018-12-29 | 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 | 2018-12-05 | 2018-12-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-12-05 | 2018-12-29 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-12-05 | 2018-12-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-05 | 2018-12-29 | 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 | 2018-12-05 | 2018-12-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-05 | 2018-12-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-05 | 2018-12-29 | 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 | 2018-12-05 | 2018-12-29 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-12-05 | 2018-12-29 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-12-05 | 2018-12-29 | 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 | 2018-12-05 | 2018-12-29 | 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 | 2018-12-05 | 2018-12-29 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-12-05 | 2018-12-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-05 | 2018-12-29 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-12-05 | 2018-12-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-05 | 2018-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-05 | 2018-12-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-05 | 2018-12-29 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-12-05 | 2018-12-29 | N |
