A list of the most recent deficiencies for Healthcare Center of Orange County. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-27 | 2024-03-15 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-10 | 2023-05-11 | 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 | 2023-04-10 | 2023-05-11 | 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 | 2023-04-10 | 2023-05-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-04-10 | 2023-05-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-10 | 2023-05-11 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-10 | 2023-05-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-10 | 2023-05-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-10 | 2023-05-11 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-10 | 2023-05-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-10 | 2023-05-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-10 | 2023-05-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-10 | 2023-05-11 | 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 | 2023-04-10 | 2023-05-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-10 | 2023-05-11 | 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 | 2023-04-10 | 2023-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-10 | 2023-05-11 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-10 | 2023-05-11 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2023-04-10 | 2023-05-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-10 | 2023-05-11 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-04-10 | 2023-05-11 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-04-12 | 2023-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-12 | 2023-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-12 | 2023-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-12 | 2023-04-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-30 | 2022-05-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-30 | 2022-05-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-09 | 2022-03-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-01 | 2021-07-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-01 | 2021-07-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-04 | 2021-07-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-19 | 2021-05-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-19 | 2021-05-20 | Y |
| Use approved construction type or materials. | Fire Safety | 2020-02-04 | 2020-03-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-02-04 | 2020-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-04 | 2020-03-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-04 | 2020-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-04 | 2020-03-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-04 | 2020-03-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-31 | 2020-03-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-31 | 2020-03-01 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-01-31 | 2020-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-31 | 2020-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-31 | 2020-03-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-01-31 | 2020-03-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-01-31 | 2020-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-31 | 2020-03-01 | N |
| Dispose of garbage and refuse properly. | Health | 2020-01-31 | 2020-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-31 | 2020-03-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-31 | 2020-03-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-31 | 2020-03-01 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-01-31 | 2020-03-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish methods for sharing information. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| 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 | 2019-03-27 | 2019-04-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-03-27 | 2019-04-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-27 | 2019-04-25 | 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 | 2019-02-13 | 2019-03-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-13 | 2019-03-12 | 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 | 2019-02-13 | 2019-03-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-13 | 2019-03-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-13 | 2019-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-13 | 2019-03-12 | 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 | 2019-02-13 | 2019-03-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-13 | 2019-03-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-13 | 2019-03-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-02-13 | 2019-03-12 | 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 | 2019-02-13 | 2019-03-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-13 | 2019-03-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-02-13 | 2019-03-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-02-13 | 2019-03-12 | 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 | 2019-02-13 | 2019-03-12 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-02-13 | 2019-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-13 | 2019-03-12 | N |
| Dispose of garbage and refuse properly. | Health | 2019-02-13 | 2019-03-12 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2019-02-13 | 2019-03-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-02-13 | 2019-03-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-13 | 2019-03-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-02-13 | 2019-03-12 | N |
| Keep all essential equipment working safely. | Health | 2019-02-13 | 2019-03-12 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2019-02-13 | 2019-03-12 | N |
