Deficiency Records for Anaheim Healthcare Center, LLC
Updated as of July 01, 2023
This is not the most recent data for Anaheim Healthcare Center, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Anaheim Healthcare Center, LLC. 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 treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-05-31 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-17 | 2022-12-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-17 | 2022-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-18 | 2022-06-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-26 | 2022-05-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-26 | 2022-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-29 | 2022-01-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-16 | 2021-08-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-07-16 | 2021-08-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-16 | 2021-08-15 | 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 | 2021-07-16 | 2021-08-15 | 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 | 2021-07-16 | 2021-08-15 | 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 | 2021-07-16 | 2021-08-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-16 | 2021-08-15 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-07-16 | 2021-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-16 | 2021-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-16 | 2021-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-16 | 2021-08-15 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2021-07-16 | 2021-08-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-07-16 | 2021-08-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-16 | 2021-08-15 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-07-16 | 2021-08-15 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-07-16 | 2021-08-15 | Y |
| 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 | 2021-07-16 | 2021-08-15 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-20 | 2021-08-11 | 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 | 2021-07-20 | 2021-08-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-07-20 | 2021-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-07-27 | 2020-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-10 | 2019-11-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-16 | 2019-10-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-09-16 | 2019-10-16 | 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 | 2019-09-16 | 2019-10-16 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-09-16 | 2019-10-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-16 | 2019-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-16 | 2019-10-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-09-16 | 2019-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-16 | 2019-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-16 | 2019-10-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-16 | 2019-10-16 | 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 | 2019-09-16 | 2019-10-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-09-16 | 2019-10-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-16 | 2019-10-16 | 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 | 2019-09-16 | 2019-10-16 | N |
| 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 | 2019-09-16 | 2019-10-16 | 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 | 2019-09-16 | 2019-10-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-16 | 2019-10-16 | 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 | 2019-09-16 | 2019-10-16 | 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 | 2019-09-16 | 2019-10-16 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-09-16 | 2019-10-16 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-09-16 | 2019-10-16 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-09-16 | 2019-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-16 | 2019-10-16 | N |
| Dispose of garbage and refuse properly. | Health | 2019-09-16 | 2019-10-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-16 | 2019-10-16 | 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 | 2019-09-16 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-16 | 2019-10-16 | N |
| Keep all essential equipment working safely. | Health | 2019-09-16 | 2019-10-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-12-11 | 2019-01-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-11 | 2019-01-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-11 | 2019-01-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-11 | 2019-01-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-17 | 2018-11-16 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-10-17 | 2018-11-16 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-10-17 | 2018-11-16 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide activities to meet all resident's needs. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | 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 | 2018-10-17 | 2018-11-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-10-17 | 2018-11-16 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-10-17 | 2018-11-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-17 | 2018-11-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-10-17 | 2018-11-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-17 | 2018-11-16 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-10-17 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-17 | 2018-11-16 | N |
