Deficiency Records for La Jolla Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for La Jolla Nursing and Rehabilitation 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-06 | 2023-10-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-06 | 2023-10-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-03 | 2023-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-03 | 2023-04-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-29 | 2023-04-25 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-11-09 | 2022-12-15 | Y |
| 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 | 2022-11-09 | 2022-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-09 | 2022-12-15 | 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 | 2022-05-24 | 2022-07-19 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-25 | 2022-05-12 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-04-08 | 2022-05-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-08 | 2022-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-08 | 2022-05-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-08 | 2022-05-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-05-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-04-08 | 2022-05-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-08 | 2022-05-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-08 | 2022-05-06 | N |
| Post nurse staffing information every day. | Health | 2022-04-08 | 2022-05-06 | 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 | 2022-04-08 | 2022-05-06 | 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 | 2022-04-08 | 2022-05-06 | 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 | 2022-04-08 | 2022-05-06 | 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 | 2022-04-08 | 2022-05-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-04-08 | 2022-05-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-05-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-08 | 2022-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-08 | 2022-05-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-04-13 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-04 | 2022-04-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-11 | 2022-03-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-28 | 2022-02-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-26 | 2021-11-18 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-17 | 2021-10-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-20 | 2021-10-15 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-06-24 | 2021-07-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-29 | 2021-04-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-17 | 2021-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-10 | 2021-04-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-03-10 | 2021-04-07 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-08-09 | 2019-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-09 | 2019-09-27 | 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 | 2019-08-09 | 2019-09-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-08-09 | 2019-09-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-08-09 | 2019-09-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-09 | 2019-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-09 | 2019-09-27 | 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 | 2019-08-09 | 2019-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-09 | 2019-09-27 | 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 | 2019-08-09 | 2019-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-09 | 2019-09-27 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-29 | 2019-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-27 | 2018-11-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-27 | 2018-11-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-12 | 2018-08-10 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-07-12 | 2018-08-10 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-07-12 | 2018-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-12 | 2018-08-10 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-07-12 | 2018-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-12 | 2018-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-12 | 2018-08-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-07-12 | 2018-08-10 | N |
