Deficiency Records for La Casa Via Transitional Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for La Casa Via Transitional 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? |
|---|---|---|---|---|
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2024-01-02 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-11-30 | 2023-12-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-11-30 | 2023-12-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-30 | 2023-12-19 | 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 | 2023-11-30 | 2023-12-19 | 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 | 2023-11-30 | 2023-12-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-11-30 | 2023-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-30 | 2023-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-30 | 2023-12-19 | 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 | 2023-03-22 | 2023-03-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-22 | 2023-03-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-28 | 2023-03-21 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-09 | 2021-12-23 | 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 | 2021-11-09 | 2021-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-09 | 2021-12-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-04 | 2021-12-22 | 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 | 2021-11-04 | 2021-12-22 | 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 | 2021-11-04 | 2021-12-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-11-04 | 2021-12-22 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Use approved construction type or materials. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-09-10 | 2019-10-10 | N |
