A list of the most recent deficiencies for Garden Grove 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-21 | 2023-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-10-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-21 | 2023-10-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-21 | 2023-10-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-21 | 2023-10-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-10-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-21 | 2023-10-21 | 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 | 2023-09-21 | 2023-10-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-21 | 2023-10-21 | 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 | 2023-09-21 | 2023-10-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-21 | 2023-10-21 | N |
| Dispose of garbage and refuse properly. | Health | 2023-09-21 | 2023-10-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-26 | 2023-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-26 | 2023-10-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-11 | 2023-06-12 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-02-08 | 2023-03-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-18 | 2022-12-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-26 | 2022-05-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-10 | 2021-09-09 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-28 | 2021-07-27 | N |
| 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 | 2021-06-28 | 2021-07-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-28 | 2021-07-27 | 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 | 2021-06-28 | 2021-07-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-06-28 | 2021-07-27 | 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 | 2021-06-28 | 2021-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-28 | 2021-07-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-28 | 2021-07-27 | 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 | 2021-06-28 | 2021-07-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-28 | 2021-07-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Use approved construction type or materials. | Fire Safety | 2021-07-07 | 2021-07-26 | 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 | 2021-07-07 | 2021-07-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-07-07 | 2021-07-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-20 | 2019-07-05 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-15 | 2019-06-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-05-15 | 2019-06-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-15 | 2019-06-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-15 | 2019-06-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-15 | 2019-06-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-05-15 | 2019-06-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-15 | 2019-06-14 | 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 | 2019-05-15 | 2019-06-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-15 | 2019-06-14 | 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 | 2019-05-15 | 2019-06-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-05-15 | 2019-06-14 | 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 | 2019-05-15 | 2019-06-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-15 | 2019-06-14 | N |
| Dispose of garbage and refuse properly. | Health | 2019-05-15 | 2019-06-14 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-05-15 | 2019-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-15 | 2019-06-14 | N |
