Deficiency Records for Ponce Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Ponce Health and Rehabilitation 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-19 | 2024-02-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-21 | 2024-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-01-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-21 | 2024-01-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-19 | 2024-01-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-20 | 2022-11-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-20 | 2022-11-20 | 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 | 2022-10-20 | 2022-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-20 | 2022-11-20 | 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 | 2022-10-20 | 2022-11-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-20 | 2022-11-20 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-10-20 | 2022-11-20 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Meet other general requirements. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2022-10-20 | 2022-11-20 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-10-20 | 2022-11-20 | 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 | 2021-07-21 | 2021-08-21 | 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 | 2021-07-21 | 2021-08-21 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-21 | 2021-08-21 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-07-21 | 2021-08-21 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-02-26 | 2020-03-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-02-26 | 2020-03-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-26 | 2020-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-26 | 2020-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-26 | 2020-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-26 | 2020-03-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-02-26 | 2020-03-27 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2020-02-26 | 2020-03-27 | N |
