A list of the most recent deficiencies for The Rehabilitation Center On Pico. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-20 | 2024-01-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-12-20 | 2024-01-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-12 | 2023-10-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-12 | 2023-10-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-09-11 | 2023-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-12 | 2023-06-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-20 | 2023-02-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-12 | 2023-02-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-12 | 2023-02-12 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-11-16 | 2022-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-16 | 2022-12-08 | 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 | 2022-03-10 | 2022-03-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-10 | 2022-03-23 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-03-10 | 2022-03-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-21 | 2022-03-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-21 | 2022-01-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-01 | 2021-08-20 | Y |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2021-05-21 | 2021-07-08 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-05-21 | 2021-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-21 | 2021-06-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-21 | 2021-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-21 | 2021-06-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-21 | 2021-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-21 | 2021-06-18 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-05-21 | 2021-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-21 | 2021-06-18 | 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 | 2021-05-21 | 2021-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-21 | 2021-06-18 | N |
| Post nurse staffing information every day. | Health | 2021-05-21 | 2021-06-18 | 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 | 2021-05-21 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-21 | 2021-06-18 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-05-21 | 2021-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-21 | 2021-06-18 | 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 | 2021-05-21 | 2021-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-21 | 2021-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-21 | 2021-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-21 | 2021-06-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-01 | 2021-05-11 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2021-04-29 | 2021-05-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-04 | 2019-05-22 | N |
| Provide appropriate foot care. | Health | 2019-04-04 | 2019-05-22 | 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 | 2019-04-04 | 2019-05-22 | N |
| Provide or obtain dental services for each resident. | Health | 2019-04-04 | 2019-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-04 | 2019-05-22 | 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 | 2019-04-04 | 2019-05-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-04 | 2019-05-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-04-04 | 2019-05-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-04 | 2019-05-22 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-04-04 | 2019-05-22 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-04-04 | 2019-05-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-04-02 | 2019-04-29 | 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 | 2019-04-02 | 2019-04-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-04-02 | 2019-04-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-02 | 2019-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-02 | 2019-04-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-26 | 2018-04-20 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-03-26 | 2018-04-20 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-03-26 | 2018-04-20 | 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 | 2018-03-26 | 2018-04-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-03-26 | 2018-04-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-26 | 2018-04-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-26 | 2018-04-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-03-26 | 2018-04-20 | 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 | 2018-03-26 | 2018-04-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-26 | 2018-04-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-26 | 2018-04-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-03-24 | 2018-04-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-03-24 | 2018-04-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-03-24 | 2018-04-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-03-24 | 2018-04-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-24 | 2018-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-03-24 | 2018-04-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-03-24 | 2018-04-20 | N |
