Deficiency Records for Canyon Springs Post-Acute
Updated as of February 01, 2020
This is not the most recent data for Canyon Springs Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for Canyon Springs Post-Acute. 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 | 2019-10-24 | 2019-11-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-24 | 2019-11-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-18 | 2019-07-12 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-06-18 | 2019-07-12 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-06-11 | 2019-07-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-11 | 2019-07-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-06-11 | 2019-07-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-11 | 2019-07-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-05 | 2019-05-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-05 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-05 | 2019-05-01 | 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 | 2019-04-05 | 2019-05-01 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-04-05 | 2019-05-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-05 | 2019-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-05 | 2019-05-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-05-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-05 | 2019-05-01 | 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 | 2019-04-05 | 2019-05-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-04-05 | 2019-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-05 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-04-05 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-12 | 2018-11-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-08 | 2018-06-25 | 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 | 2018-04-13 | 2018-05-10 | Y |
| Assess the resident when there is a significant change in condition | Health | 2018-03-09 | 2018-04-18 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-03-09 | 2018-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-09 | 2018-04-18 | 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 | 2018-03-09 | 2018-04-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-03-09 | 2018-04-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-09 | 2018-04-18 | 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 ne | Health | 2018-03-09 | 2018-04-18 | 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 | 2018-03-09 | 2018-04-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-03-09 | 2018-04-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-26 | 2017-07-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-16 | 2017-06-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-02 | 2017-04-14 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-03-02 | 2017-04-06 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-03-02 | 2017-04-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-02 | 2017-04-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-03-02 | 2017-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-02 | 2017-04-06 | 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 | 2017-03-02 | 2017-04-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-03-02 | 2017-04-06 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-03-02 | 2017-04-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-02 | 2017-04-06 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-02 | 2017-04-06 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-02 | 2017-04-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-02 | 2017-04-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-02 | 2017-04-06 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-03-02 | 2017-04-06 | N |
| Operate and provide services according to Federal, State, and local laws and professional standards. | Health | 2017-03-02 | 2017-04-06 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-03-02 | 2017-04-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-03-02 | 2017-04-06 | N |
