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 |