A list of the most recent deficiencies for Imperial Healthcare 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 | 2024-01-04 | 2024-02-04 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-01-04 | 2024-02-04 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-01-04 | 2024-02-04 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-28 | 2023-10-28 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-03-08 | 2023-03-25 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-12-15 | 2023-02-02 | Y |
Establish policies and procedures for volunteers. | Fire Safety | 2022-12-15 | 2023-02-02 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-11 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-17 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-17 | 2022-04-17 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-17 | 2022-04-17 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-17 | 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 | 2022-03-17 | 2022-04-17 | N |
Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-17 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-17 | 2022-04-17 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-03-25 | 2022-04-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-03-25 | 2022-04-17 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-24 | 2021-12-07 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-12 | 2021-12-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-12 | 2021-12-03 | Y |
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 | 2021-11-12 | 2021-12-03 | 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 | 2021-11-12 | 2021-12-03 | Y |
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2020-03-02 | 2020-04-07 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-02 | 2020-04-07 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-02 | 2020-04-07 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-02 | 2020-04-07 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-02 | 2020-04-07 | 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 | 2020-03-02 | 2020-04-07 | N |
Provide and implement an infection prevention and control program. | Health | 2020-03-02 | 2020-04-07 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. | Fire Safety | 2020-02-27 | 2020-03-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-02-26 | 2019-03-27 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-02-26 | 2019-03-19 | 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 | 2019-02-26 | 2019-03-19 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-26 | 2019-03-19 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-26 | 2019-03-19 | 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 | 2019-02-26 | 2019-03-19 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-26 | 2019-03-19 | N |