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Deficiency Records for Gardena Convalescent Center
A list of the most recent deficiencies for Gardena Convalescent Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Gardena Convalescent 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-01-29 | 2025-02-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-29 | 2025-02-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-29 | 2025-02-23 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2025-01-24 | 2025-02-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-24 | 2025-02-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-24 | 2025-02-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2025-01-24 | 2025-02-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-24 | 2025-02-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-24 | 2025-02-23 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-24 | 2025-02-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-24 | 2025-02-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-01-24 | 2025-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-24 | 2025-02-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-24 | 2025-02-23 | 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 | 2025-01-24 | 2025-02-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-24 | 2025-02-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-01-24 | 2025-02-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-24 | 2025-02-23 | 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 | 2025-01-24 | 2025-02-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-01-24 | 2025-02-23 | 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 | 2025-01-24 | 2025-02-23 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2025-01-24 | 2025-02-23 | 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 | 2025-01-24 | 2025-02-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-01-23 | 2025-01-30 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-01-23 | 2025-01-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-04-10 | 2024-05-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-28 | 2024-03-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-25 | 2024-02-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-12 | 2024-02-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-12 | 2024-02-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-12 | 2024-02-11 | 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 | 2024-01-12 | 2024-02-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-12 | 2024-02-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-02-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-12 | 2024-02-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-01-12 | 2024-02-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-12 | 2024-02-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-11 | 2024-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-11 | 2024-02-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-26 | 2024-01-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-26 | 2024-01-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-31 | 2023-07-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | 2023-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-31 | 2023-07-26 | Y |
| Keep complete, dated laboratory records in the resident's record. | Health | 2023-06-09 | 2023-07-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-16 | 2023-06-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-13 | 2023-04-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-24 | 2023-03-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-24 | 2023-03-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-24 | 2023-03-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-24 | 2023-03-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-24 | 2023-03-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-02-24 | 2023-03-25 | 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 | 2023-02-24 | 2023-03-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-24 | 2023-03-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-02-23 | 2023-03-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-23 | 2023-03-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-01 | 2022-12-31 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-12-01 | 2022-12-31 | Y |
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