Deficiency Records for Ledgecrest Health Care Center
Updated as of October 01, 2019
This is not the most recent data for Ledgecrest Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Ledgecrest Health 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Develop a communication plan. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-04 | 2018-11-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-04 | 2018-11-30 | 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 | 2018-09-07 | 2018-10-19 | 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 | 2018-09-07 | 2018-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-07 | 2018-10-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-07 | 2018-10-19 | 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 | 2018-09-07 | 2018-10-19 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2018-09-07 | 2018-10-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-09-07 | 2018-10-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-09-07 | 2018-09-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-09-07 | 2018-09-30 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-25 | 2017-10-06 | N |
| Provide housekeeping and maintenance services. | Health | 2017-08-25 | 2017-10-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-25 | 2017-10-06 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-08-25 | 2017-10-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-25 | 2017-10-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-25 | 2017-10-06 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-12 | 2016-09-24 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-09-12 | 2016-09-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-09-12 | 2016-09-24 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-09-12 | 2016-09-24 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-09-12 | 2016-09-24 | N |
