A list of the most recent deficiencies for Burbank 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-28 | 2023-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-28 | 2023-12-20 | Y |
| 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 | 2023-11-28 | 2023-12-20 | 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 | 2023-11-28 | 2023-12-20 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-11-28 | 2023-12-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-25 | 2023-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-29 | 2023-08-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-25 | 2023-08-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-25 | 2023-08-11 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-25 | 2023-07-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-07-22 | 2023-07-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-22 | 2023-07-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-16 | 2023-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-16 | 2023-07-12 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-06-29 | 2023-07-12 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-29 | 2023-07-12 | 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 | 2023-06-29 | 2023-07-12 | 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 | 2023-06-29 | 2023-07-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-29 | 2023-07-12 | 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 | 2023-06-29 | 2023-07-12 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-06-29 | 2023-07-12 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-29 | 2023-07-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-29 | 2023-07-12 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-29 | 2023-07-12 | Y |
| 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 | 2023-06-29 | 2023-07-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-07-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-16 | 2023-06-05 | Y |
| Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2023-05-16 | 2023-06-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-26 | 2023-03-01 | Y |
| 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 | 2023-02-26 | 2023-03-01 | 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 | 2023-02-26 | 2023-03-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-26 | 2023-03-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-26 | 2023-03-01 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-26 | 2023-03-01 | 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 | 2023-02-03 | 2023-03-01 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-02-03 | 2023-02-24 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-02-03 | 2023-02-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-03 | 2023-02-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-03 | 2023-02-24 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-02-03 | 2023-02-24 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-02-03 | 2023-02-24 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-03 | 2023-02-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-03 | 2023-02-24 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-03 | 2023-02-24 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-03 | 2023-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-18 | 2022-11-02 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2022-09-06 | 2022-10-31 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-02 | 2022-09-28 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-06 | 2022-09-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-06 | 2022-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-06 | 2022-09-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-06 | 2022-09-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2022-09-06 | 2022-09-22 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-12 | 2022-08-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-12 | 2022-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-12 | 2022-08-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-12 | 2022-08-31 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-08-12 | 2022-08-30 | Y |
| 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 | 2022-08-12 | 2022-08-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-08-12 | 2022-08-30 | 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 | 2022-08-12 | 2022-08-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-12 | 2022-08-30 | 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 | 2022-08-12 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-12 | 2022-08-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-12 | 2022-08-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-01 | 2022-07-19 | Y |
| 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 | 2022-07-01 | 2022-07-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-01 | 2022-07-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-02 | 2022-06-17 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-04-11 | 2022-04-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-01 | 2022-02-16 | Y |
| 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 | 2022-02-01 | 2022-02-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-02-01 | 2022-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-17 | 2021-12-01 | Y |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2021-10-18 | 2021-10-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-10-18 | 2021-10-27 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-10-18 | 2021-10-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-18 | 2021-10-27 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-10-18 | 2021-10-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-10-18 | 2021-10-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-10-18 | 2021-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-10-18 | 2021-10-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-15 | 2021-10-26 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-10-15 | 2021-10-26 | 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 | 2021-10-15 | 2021-10-26 | 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 | 2021-10-15 | 2021-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-15 | 2021-10-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-16 | 2021-09-02 | 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 | 2021-08-16 | 2021-09-02 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-08-16 | 2021-09-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-16 | 2021-09-02 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-08-16 | 2021-09-02 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-07-16 | 2021-07-19 | N |
| Report COVID19 data to residents and families. | Health | 2021-07-16 | 2021-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-16 | 2021-07-19 | Y |
| 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 | 2021-07-16 | 2021-07-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-07-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-16 | 2021-07-19 | Y |
| Keep all essential equipment working safely. | Health | 2021-07-16 | 2021-07-19 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-27 | 2021-04-28 | Y |
