Deficiency Records for Castle Peak Senior Life and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Castle Peak Senior Life and Rehabilitation. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-03 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-16 | 2023-04-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-03-16 | 2023-04-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-23 | 2022-01-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-02 | 2022-01-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-02 | 2022-01-19 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-02 | 2022-01-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-02 | 2022-01-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-02 | 2022-01-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-02 | 2022-01-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-02 | 2022-01-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-12-02 | 2022-01-19 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-12-02 | 2022-01-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-23 | 2021-12-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-14 | 2021-07-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-14 | 2021-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-14 | 2021-07-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-14 | 2021-07-23 | 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 | 2021-06-14 | 2021-07-23 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-06-14 | 2021-07-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-23 | 2021-01-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-23 | 2021-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-23 | 2021-01-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-24 | 2020-11-02 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-24 | 2020-11-02 | N |
| Respond appropriately to all alleged violations. | Health | 2020-09-24 | 2020-11-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-24 | 2020-11-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-24 | 2020-11-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-09-24 | 2020-11-02 | 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 | 2020-09-24 | 2020-11-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-24 | 2020-11-02 | N |
