A list of the most recent deficiencies for Promontory Point 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-15 | 2019-04-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-15 | 2019-04-15 | 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 | 2019-03-15 | 2019-04-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-15 | 2019-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-15 | 2019-04-15 | 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 | 2019-03-15 | 2019-04-15 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-15 | 2019-04-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-15 | 2019-04-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-15 | 2019-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-15 | 2019-04-15 | 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 | 2019-03-15 | 2019-04-15 | N |
| Post nurse staffing information every day. | Health | 2019-03-15 | 2019-04-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-15 | 2019-04-15 | 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 | 2019-03-15 | 2019-04-15 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-03-15 | 2019-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-15 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-15 | 2019-04-15 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-04-04 | 2018-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-04 | 2018-04-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-04-04 | 2018-04-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-04 | 2018-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-15 | 2018-01-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-12-15 | 2018-01-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-15 | 2018-01-17 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2017-12-15 | 2018-01-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-15 | 2018-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-15 | 2018-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-15 | 2018-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-10 | 2017-05-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-03-10 | 2017-05-11 | N |
| Have a properly installed and maintained dumbwaiter or escalator. | Fire Safety | 2017-03-10 | 2017-05-11 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-08-25 | 2016-09-15 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-08-25 | 2016-09-15 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-08-25 | 2016-09-15 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-25 | 2016-09-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-08-25 | 2016-09-15 | N |
| Provide housekeeping and maintenance services. | Health | 2016-08-25 | 2016-09-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-25 | 2016-09-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-08-25 | 2016-09-15 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-13 | 2016-01-28 | N |
| Heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2016-01-13 | 2016-01-26 | N |
