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Deficiency Records for Menifee Lakes Post Acute
View the most recent health deficiencies and inspection results for Menifee Lakes Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Menifee Lakes Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-12 | 2026-03-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2026-03-12 | 2026-03-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-07 | 2026-01-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2026-01-07 | 2026-01-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-13 | 2025-06-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-13 | 2025-04-12 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2025-03-13 | 2025-04-12 | 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 | 2025-03-13 | 2025-04-12 | 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 | 2025-03-13 | 2025-04-12 | 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 | 2025-03-13 | 2025-04-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-03-13 | 2025-04-12 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-03-13 | 2025-04-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-03-13 | 2025-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-03-13 | 2025-04-12 | 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 | 2025-03-13 | 2025-04-12 | 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 | 2025-03-13 | 2025-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-13 | 2025-03-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-03-13 | 2025-03-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-03-13 | 2025-03-26 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2025-03-13 | 2025-03-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-03-13 | 2025-03-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-21 | 2025-03-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-23 | 2025-02-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-26 | 2024-10-18 | 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 | 2024-07-16 | 2024-07-31 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-06-20 | 2024-07-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-14 | 2024-02-22 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-11-27 | 2023-12-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-14 | 2023-12-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-11-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-25 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-18 | 2023-10-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-17 | 2023-10-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-09-27 | 2023-10-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-10 | 2023-08-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-18 | 2023-06-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-05-18 | 2023-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-18 | 2023-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-18 | 2023-06-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-18 | 2023-06-18 | 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 necessary and PRN use is limited. | Health | 2023-05-18 | 2023-06-18 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-05-18 | 2023-06-18 | 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 | 2023-05-18 | 2023-06-18 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-05-25 | 2023-06-09 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-05-18 | 2023-06-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-05-18 | 2023-06-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-18 | 2023-06-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-05-18 | 2023-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-15 | 2023-05-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-09 | 2023-05-19 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-09-19 | 2019-11-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-19 | 2019-10-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-19 | 2019-10-15 | 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 | 2019-09-19 | 2019-10-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-19 | 2019-10-15 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-19 | 2019-10-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-09-19 | 2019-10-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-09-19 | 2019-10-15 | 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 | 2019-09-19 | 2019-10-15 | 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 | 2019-09-19 | 2019-10-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2026-03-13 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-13 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-13 | Not Fixed | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2026-03-13 | Not Fixed | Y |