A list of the most recent deficiencies for La Paz Geropsychiatric 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-01-11 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-21 | 2024-01-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-24 | 2023-11-20 | 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 | 2023-10-24 | 2023-11-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-10-24 | 2023-11-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-20 | 2023-11-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-20 | 2023-11-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-20 | 2023-11-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-10-20 | 2023-11-10 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-20 | 2023-11-10 | 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 | 2023-10-20 | 2023-11-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-20 | 2023-11-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-20 | 2023-11-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-20 | 2023-11-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-10-20 | 2023-11-10 | N |
| Provide or obtain dental services for each resident. | Health | 2023-10-20 | 2023-11-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-20 | 2023-11-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-20 | 2023-11-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-20 | 2023-11-10 | 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 | 2023-10-20 | 2023-11-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-20 | 2023-11-10 | 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 | 2023-06-06 | 2023-06-09 | Y |
| Provide appropriate foot care. | Health | 2023-05-22 | 2023-06-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-29 | 2023-05-19 | Y |
| Provide appropriate foot care. | Health | 2023-03-29 | 2023-05-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-29 | 2023-05-19 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-02-10 | 2023-03-03 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-02-05 | 2023-02-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-31 | 2022-11-09 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-04 | 2022-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-10-04 | 2022-10-30 | 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 | 2022-10-04 | 2022-10-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-04 | 2022-10-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-04 | 2022-10-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-10-04 | 2022-10-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-04 | 2022-10-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-04 | 2022-10-30 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-04 | 2022-10-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-04 | 2022-10-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-04 | 2022-10-30 | 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 | 2022-10-04 | 2022-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-04 | 2022-10-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-10-04 | 2022-10-30 | 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 | 2022-10-04 | 2022-10-30 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-04 | 2022-10-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-10-04 | 2022-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-02-23 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-01-12 | 2022-01-18 | Y |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-01-07 | 2022-01-10 | Y |
| Assess the resident when there is a significant change in condition | Health | 2019-09-13 | 2019-10-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-09-13 | 2019-10-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-13 | 2019-10-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-13 | 2019-10-16 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-09-13 | 2019-10-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-13 | 2019-10-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-09-13 | 2019-10-16 | 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 | 2019-09-13 | 2019-10-16 | 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 | 2019-09-13 | 2019-10-16 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-09-13 | 2019-10-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-13 | 2019-10-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-13 | 2019-10-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-13 | 2019-10-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-09-13 | 2019-10-16 | 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 | 2019-09-13 | 2019-10-16 | N |
