Deficiency Records for Balboa Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Balboa 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 | 2023-02-02 | 2023-03-03 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-30 | 2022-09-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-08-25 | 2022-09-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-25 | 2022-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-25 | 2022-09-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-25 | 2022-09-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-08-25 | 2022-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-25 | 2022-09-19 | 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 | 2022-08-25 | 2022-09-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-25 | 2022-09-19 | 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 | 2022-08-25 | 2022-09-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-25 | 2022-09-19 | 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 | 2022-08-25 | 2022-09-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-25 | 2022-09-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-08-25 | 2022-09-19 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-19 | 2022-09-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-02 | 2022-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-02 | 2022-08-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-05 | 2022-07-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-09 | 2022-03-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-14 | 2021-10-04 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2019-03-08 | 2019-04-08 | 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 | 2019-03-08 | 2019-04-08 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2019-03-08 | 2019-04-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-03-08 | 2019-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-08 | 2019-04-08 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2019-03-08 | 2019-04-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-03-08 | 2019-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-08 | 2019-04-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-18 | 2019-02-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-18 | 2019-02-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-18 | 2019-02-17 | 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 | 2019-01-18 | 2019-02-17 | 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 | 2019-01-18 | 2019-02-17 | N |
| Have policies on smoking. | Health | 2019-01-18 | 2019-02-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-20 | 2018-01-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-20 | 2018-01-10 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-20 | 2018-01-10 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-20 | 2018-01-10 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-11-20 | 2018-01-10 | N |
| Offer other nutritional food to each resident who will not eat the food served. | Health | 2017-11-20 | 2018-01-10 | N |
| Keep all essential equipment working safely. | Health | 2017-11-20 | 2018-01-10 | N |
| Give or get x-rays and other tests in a timely manner to meet the needs of residents. | Health | 2017-11-20 | 2018-01-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-11-20 | 2018-01-10 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Develop a communication plan. | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Implement emergency and standby power systems. | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Meet other general requirements. | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2017-11-29 | 2018-01-02 | 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 | 2017-11-29 | 2018-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-11-29 | 2018-01-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-10 | Not Fixed | N |
| Report COVID19 data to residents and families. | Health | 2021-03-10 | Not Fixed | N |
