A list of the most recent deficiencies for Centinela Grand Inc. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-12 | 2022-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-01 | 2022-06-15 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-06-01 | 2022-06-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-18 | 2022-04-13 | 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 | 2022-03-18 | 2022-04-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-18 | 2022-04-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-18 | 2022-04-08 | 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 | 2022-03-18 | 2022-04-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-18 | 2022-04-08 | 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 | 2022-03-18 | 2022-04-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-18 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-18 | 2022-04-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-03-18 | 2022-04-08 | N |
| Keep all essential equipment working safely. | Health | 2022-03-18 | 2022-04-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-05 | 2020-01-03 | 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 | 2019-12-05 | 2020-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-05 | 2020-01-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-05 | 2020-01-03 | 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 | 2019-11-08 | 2019-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-08 | 2019-12-20 | 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 | 2019-11-08 | 2019-12-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-08 | 2019-12-20 | 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 | 2019-11-08 | 2019-12-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-08 | 2019-12-20 | 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 | 2019-11-08 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-12-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-28 | 2019-04-16 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-10 | 2019-02-28 | 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 | 2019-01-10 | 2019-02-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-01-10 | 2019-02-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-10 | 2019-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-10 | 2019-02-28 | 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 | 2019-01-10 | 2019-02-28 | 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 | 2019-01-10 | 2019-02-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-10 | 2019-02-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-10 | 2019-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-10 | 2019-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-10 | 2019-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-28 | N |
