Deficiency Records for Promontory Point Rehabilitation
Updated as of May 01, 2024
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Deficiency Records for Promontory Point Rehabilitation
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.
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 | 2024-03-08 | 2024-04-11 | Y |
| 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 | 2024-03-08 | 2024-04-11 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-03-08 | 2024-04-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-03-08 | 2024-04-11 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-03-08 | 2024-04-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-08 | 2024-04-11 | Y |
| 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 | 2024-03-08 | 2024-04-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-08 | 2024-04-11 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-08 | 2024-04-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-08 | 2024-04-11 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| Develop a communication plan. | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| Have an externally vented heating system. | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-03 | 2023-09-06 | N |
| 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 |
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