Deficiency Records for Hollywood Presbyterian Medical Center D/p Snf
Updated as of April 01, 2024
A list of the most recent deficiencies for Hollywood Presbyterian Medical Center D/p Snf. 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 maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-28 | 2024-01-22 | 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 | 2023-12-28 | 2024-01-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-28 | 2024-01-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-12-17 | 2024-01-04 | 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 | 2023-12-17 | 2024-01-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-17 | 2024-01-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-17 | 2024-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-17 | 2024-01-04 | 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 | 2023-12-17 | 2024-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-17 | 2024-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-17 | 2024-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-17 | 2024-01-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-17 | 2024-01-04 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-12-17 | 2024-01-04 | N |
| Post nurse staffing information every day. | Health | 2023-12-17 | 2024-01-04 | 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 | 2023-12-17 | 2024-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-17 | 2024-01-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-17 | 2024-01-04 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-06-13 | 2023-07-25 | Y |
| 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 | 2023-04-19 | 2023-04-19 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2023-02-24 | 2023-03-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-31 | 2022-04-11 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-03-16 | 2022-03-25 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-01-21 | 2022-01-31 | Y |
| 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 | 2021-12-22 | 2022-01-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-04 | 2019-11-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-04 | 2019-11-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-10-04 | 2019-11-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-04 | 2019-11-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-04 | 2019-11-04 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-04 | 2019-11-04 | 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 | 2019-10-04 | 2019-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-04 | 2019-11-04 | 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 | 2019-10-04 | 2019-11-04 | 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 | 2019-10-04 | 2019-11-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-04 | 2019-11-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-04 | 2019-11-04 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-10-04 | 2019-11-04 | N |
| Keep all essential equipment working safely. | Health | 2019-10-04 | 2019-11-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-21 | 2018-12-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-21 | 2018-11-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-21 | 2018-11-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-10-21 | 2018-11-17 | 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 | 2018-10-21 | 2018-11-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-21 | 2018-11-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-10-21 | 2018-11-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-21 | 2018-11-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-21 | 2018-11-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-21 | 2018-11-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-21 | 2018-11-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-21 | 2018-11-17 | 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 | 2018-10-21 | 2018-11-17 | 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 | 2018-10-21 | 2018-11-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-10-21 | 2018-11-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-10-21 | 2018-11-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-21 | 2018-11-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-21 | 2018-11-17 | N |
| Keep all essential equipment working safely. | Health | 2018-10-21 | 2018-11-17 | N |
