Deficiency Records for Casitas Care Center
Updated as of May 01, 2024
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Deficiency Records for Casitas Care Center
A list of the most recent deficiencies for Casitas Care Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Casitas Care 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? |
|---|---|---|---|---|
| Address patient/client population and determine types of services needed. | Fire Safety | 2024-02-28 | 2024-03-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-02-28 | 2024-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-28 | 2024-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-28 | 2024-03-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-28 | 2024-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-28 | 2024-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-28 | 2024-03-18 | 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 | 2024-02-25 | 2024-03-15 | N |
| 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 | 2024-02-25 | 2024-03-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-02-25 | 2024-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-25 | 2024-03-15 | 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 | 2024-02-25 | 2024-03-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-25 | 2024-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-25 | 2024-03-15 | N |
| Post nurse staffing information every day. | Health | 2024-02-25 | 2024-03-15 | 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 | 2024-02-25 | 2024-03-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-02-25 | 2024-03-15 | 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 | 2024-02-25 | 2024-03-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-25 | 2024-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-25 | 2024-03-15 | N |
| 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 | 2023-09-26 | 2023-10-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-26 | 2023-10-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-27 | 2023-10-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-10 | 2023-08-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-06-27 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-06-09 | 2023-06-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-15 | 2022-12-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-15 | 2022-12-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-15 | 2022-12-06 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-09-23 | 2022-09-30 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-09-14 | 2022-09-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-09-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-14 | 2022-08-23 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-08 | 2022-08-16 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-08-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-08-04 | 2022-08-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-13 | 2022-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-13 | 2022-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-20 | 2022-02-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-27 | 2021-10-01 | 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 | 2021-09-27 | 2021-10-01 | Y |
| Report COVID19 data to residents and families. | Health | 2021-08-24 | 2021-09-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-25 | 2021-08-13 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-07-25 | 2021-08-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-07-25 | 2021-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-25 | 2021-08-13 | N |
| 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 | 2021-07-25 | 2021-08-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-25 | 2021-08-13 | 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 | 2021-07-25 | 2021-08-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-25 | 2021-08-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-25 | 2021-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-25 | 2021-08-13 | 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 | 2021-07-25 | 2021-08-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-07-25 | 2021-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-25 | 2021-08-13 | N |
| Post nurse staffing information every day. | Health | 2021-07-25 | 2021-08-13 | 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 | 2021-07-25 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-25 | 2021-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-25 | 2021-08-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-07-25 | 2021-08-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-25 | 2021-08-13 | 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 | 2021-07-17 | 2021-07-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-12 | 2021-07-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-12 | 2021-07-20 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-03-13 | 2020-03-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-13 | 2020-03-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-03-13 | 2020-03-31 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2020-03-13 | 2020-03-31 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-03-05 | 2020-03-27 | 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 | 2020-03-05 | 2020-03-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-05 | 2020-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-05 | 2020-03-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-05 | 2020-03-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-03-05 | 2020-03-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-03-05 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-03-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-05 | 2020-03-27 | N |
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