Deficiency Records for Chico Heights Rehabilitation and Wellness Centre, L
Updated as of November 01, 2020
This is not the most recent data for Chico Heights Rehabilitation and Wellness Centre, L. For the most recent information, click here.
A list of the most recent deficiencies for Chico Heights Rehabilitation and Wellness Centre, L. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-13 | 2020-05-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2020-02-13 | 2020-05-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-13 | 2020-05-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-13 | 2020-05-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-13 | 2020-05-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-02-13 | 2020-05-06 | Y |
| Post nurse staffing information every day. | Health | 2020-02-13 | 2020-05-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-13 | 2020-05-06 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-02-13 | 2020-05-06 | Y |
| 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 | 2020-02-13 | 2020-05-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-13 | 2020-05-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-13 | 2020-05-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-02 | 2020-04-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-02-27 | 2020-03-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-07 | 2020-03-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-30 | 2019-12-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-30 | 2019-12-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-30 | 2019-10-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-08-30 | 2019-10-16 | 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 | 2019-08-30 | 2019-10-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-30 | 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 | 2019-08-30 | 2019-10-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-30 | 2019-10-16 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-08-30 | 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 | 2019-08-30 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-30 | 2019-10-16 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-08-30 | 2019-10-16 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-08-30 | 2019-10-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-30 | 2019-10-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-28 | 2019-10-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-08-28 | 2019-10-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-28 | 2019-10-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-28 | 2019-10-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-28 | 2019-10-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-08-29 | 2019-09-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-23 | 2019-08-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-07-23 | 2019-08-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-06-17 | 2019-07-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-12 | 2019-03-28 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-12 | 2019-03-28 | Y |
| 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 | 2018-09-04 | 2019-01-10 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-09-04 | 2018-12-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-04 | 2018-12-19 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-09-04 | 2018-12-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-09-04 | 2018-12-19 | 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 | 2018-09-04 | 2018-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-04 | 2018-12-19 | 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 | 2018-09-04 | 2018-12-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-09-04 | 2018-12-19 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-09-04 | 2018-12-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-09-04 | 2018-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-04 | 2018-12-19 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-09-04 | 2018-12-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-09-04 | 2018-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-04 | 2018-12-19 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-05 | 2018-09-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-08-24 | 2018-09-14 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-05-23 | 2018-08-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2018-06-11 | 2018-07-29 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-06-11 | 2018-07-29 | Y |
| 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 | 2018-04-25 | 2018-07-23 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-04-29 | 2018-06-04 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2018-04-18 | 2018-06-04 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2018-04-18 | 2018-06-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-16 | 2018-05-01 | Y |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-12-15 | 2018-01-11 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-12-05 | 2017-12-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-10-16 | 2017-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-16 | 2017-12-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-08-11 | 2017-10-17 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-11 | 2017-10-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-11 | 2017-10-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-11 | 2017-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-11 | 2017-10-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-11 | 2017-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-11 | 2017-10-17 | N |
