CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Inland Valley Care and Rehabilitation Center
View the most recent health deficiencies and inspection results for Inland Valley Care and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Inland Valley Care and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-31 | 2026-04-03 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2026-03-04 | 2026-03-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-03-04 | 2026-03-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-02-11 | 2026-03-18 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2026-02-11 | 2026-03-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2026-03-04 | 2026-03-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2026-02-11 | 2026-03-06 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2026-02-11 | 2026-03-06 | Y |
| Provide appropriate foot care. | Health | 2026-02-11 | 2026-03-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-02-11 | 2026-03-06 | 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 | 2026-02-11 | 2026-03-06 | 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 | 2026-03-04 | 2026-03-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-12-18 | 2026-01-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-12-18 | 2026-01-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-12-12 | 2025-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-13 | 2025-11-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-23 | 2025-11-13 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-10-23 | 2025-11-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-15 | 2025-09-19 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-09-15 | 2025-09-16 | 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 | 2025-08-22 | 2025-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-22 | 2025-09-06 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-08-22 | 2025-09-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-22 | 2025-08-27 | 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 | 2025-08-22 | 2025-08-27 | 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 | 2025-08-22 | 2025-08-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-22 | 2025-08-27 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-22 | 2025-08-27 | 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 | 2025-08-22 | 2025-08-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2025-08-22 | 2025-08-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-22 | 2025-08-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-22 | 2025-08-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-22 | 2025-08-27 | 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 | 2025-08-22 | 2025-08-27 | 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 | 2025-08-22 | 2025-08-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-22 | 2025-08-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-22 | 2025-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-22 | 2025-08-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-22 | 2025-08-27 | 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 | 2025-08-22 | 2025-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-22 | 2025-08-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-22 | 2025-08-27 | 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 | 2025-08-22 | 2025-08-27 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-08-22 | 2025-08-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-22 | 2025-08-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-22 | 2025-08-27 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-08-22 | 2025-08-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-22 | 2025-08-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-22 | 2025-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-22 | 2025-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-22 | 2025-08-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-22 | 2025-08-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-08-22 | 2025-08-25 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-08-22 | 2025-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-22 | 2025-08-25 | 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 | 2025-07-24 | 2025-07-30 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-27 | 2025-07-03 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-06-27 | 2025-07-02 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-06-27 | 2025-07-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-27 | 2025-06-27 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-06-27 | 2025-06-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-13 | 2025-06-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-06-13 | 2025-06-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-27 | 2025-05-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-09 | 2025-05-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-09 | 2025-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-27 | 2025-05-29 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-09 | 2025-05-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-04-24 | 2025-05-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-04-24 | 2025-05-07 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-04-24 | 2025-05-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-04-24 | 2025-05-05 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-24 | 2025-05-05 | Y |
| Have policies on smoking. | Health | 2025-04-03 | 2025-04-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-04-03 | 2025-04-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-03-13 | 2025-03-24 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-02-25 | 2025-03-12 | Y |
| 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 | 2025-02-25 | 2025-03-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-25 | 2025-03-07 | Y |
| Dispose of garbage and refuse properly. | Health | 2025-02-25 | 2025-02-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-25 | 2025-02-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-05 | 2025-02-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-02-25 | 2025-02-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-05 | 2025-02-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-01-28 | 2025-02-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-28 | 2025-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-27 | 2025-01-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-12-27 | 2025-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-27 | 2025-01-09 | Y |
| Provide appropriate foot care. | Health | 2024-12-27 | 2025-01-09 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-13 | 2024-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-12-13 | 2024-12-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-12-05 | 2024-12-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-05 | 2024-12-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-12-05 | 2024-12-17 | Y |
| 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 | 2024-10-24 | 2024-11-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-10 | 2024-10-25 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-30 | 2024-09-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-30 | 2024-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-30 | 2024-09-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-30 | 2024-09-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-30 | 2024-09-13 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | N |
| Post nurse staffing information every day. | Health | 2024-08-30 | 2024-09-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-30 | 2024-09-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-30 | 2024-09-13 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-08-30 | 2024-09-13 | N |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-08-30 | 2024-09-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-08-30 | 2024-09-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-30 | 2024-09-13 | 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 | 2024-08-30 | 2024-09-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-08-30 | 2024-09-10 | 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 | 2024-08-30 | 2024-09-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-30 | 2024-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-09 | 2024-08-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-09 | 2024-08-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-09 | 2024-08-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-15 | 2024-08-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-28 | 2024-08-07 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-07-25 | 2024-08-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-29 | 2024-06-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-07 | 2024-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-07 | 2024-05-28 | 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 | 2024-04-30 | 2024-05-20 | Y |
| Provide appropriate foot care. | Health | 2024-04-12 | 2024-05-03 | Y |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-04-12 | 2024-05-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-12 | 2024-04-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-03-07 | 2024-03-25 | 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 | 2024-03-07 | 2024-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-03-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-08 | 2024-03-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-08 | 2024-03-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-02-08 | 2024-03-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-02-08 | 2024-02-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-24 | 2024-02-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-24 | 2024-02-15 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-01-24 | 2024-02-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-24 | 2024-02-15 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-24 | 2024-02-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-24 | 2024-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-29 | 2024-01-16 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-12-23 | 2024-01-15 | 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 | 2023-11-08 | 2023-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2023-11-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-08 | 2023-11-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-10-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-05 | 2023-10-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-23 | 2023-10-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-23 | 2023-10-26 | Y |
| 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 | 2023-08-24 | 2023-09-21 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-24 | 2023-09-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-24 | 2023-09-20 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-16 | 2023-09-18 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-16 | 2023-09-18 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-08-16 | 2023-09-14 | 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 | 2023-08-16 | 2023-09-14 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-08-16 | 2023-09-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-08-21 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-28 | 2023-08-21 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-07 | 2021-08-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-07 | 2021-08-26 | 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 | 2021-05-07 | 2021-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-07 | 2021-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-07 | 2021-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-07 | 2021-08-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-07 | 2021-08-26 | 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 | 2021-05-07 | 2021-06-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-07 | 2021-06-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-07 | 2021-06-06 | 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 | 2021-05-07 | 2021-06-06 | N |
| Post nurse staffing information every day. | Health | 2021-05-07 | 2021-06-06 | 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 | 2021-05-07 | 2021-06-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-07 | 2021-06-06 | 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 | 2021-05-07 | 2021-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-07 | 2021-06-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-07 | 2021-06-06 | 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 | 2021-05-07 | 2021-06-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-05-07 | 2021-06-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-06-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-06-06 | 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 | 2021-05-07 | 2021-06-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-07 | 2021-06-06 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-05-07 | 2021-06-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-07 | 2021-06-06 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-05-07 | 2021-06-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-07 | 2021-06-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-07 | 2021-06-06 | 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 | 2021-05-07 | 2021-06-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-07 | 2021-06-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-05-07 | 2021-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-07 | 2021-06-06 | N |