Deficiency Records for El Paso Health Care Center
Updated as of May 01, 2021
This is not the most recent data for El Paso Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for El Paso Health Care 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? |
---|---|---|---|---|
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-03-03 | 2021-03-23 | Y |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-03-03 | 2021-03-23 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-02-24 | 2021-03-17 | Y |
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 | 2021-02-24 | 2021-03-17 | Y |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-01-08 | 2021-02-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-08 | 2021-02-20 | Y |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-01-08 | 2021-02-20 | Y |
Provide and implement an infection prevention and control program. | Health | 2020-12-02 | 2021-01-01 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2020-12-02 | 2021-01-01 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-09-03 | 2020-09-03 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-14 | 2019-10-15 | N |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-08-15 | 2019-09-10 | N |
Provide activities to meet all resident's needs. | Health | 2019-08-15 | 2019-09-10 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-15 | 2019-09-10 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-08-15 | 2019-09-10 | N |
Observe each nurse aide's job performance and give regular training. | Health | 2019-08-15 | 2019-09-10 | 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 | 2019-08-15 | 2019-09-10 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-15 | 2019-09-10 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-08-15 | 2019-09-10 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-15 | 2019-09-10 | 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 | 2019-08-14 | 2019-09-05 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-08-14 | 2019-09-05 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-14 | 2019-09-05 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-08-15 | 2019-09-03 | N |
Provide family notifications of emergency plan. | Fire Safety | 2019-08-15 | 2019-09-01 | N |
Establish emergency prep training and testing. | Fire Safety | 2019-08-15 | 2019-08-26 | N |
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2019-07-17 | 2019-08-05 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-25 | 2019-05-13 | Y |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-02 | 2018-10-29 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-04 | 2018-10-25 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-10-04 | 2018-10-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-10-25 | 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 | 2018-10-04 | 2018-10-25 | N |
Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-10-04 | 2018-10-25 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-10-25 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-10-04 | 2018-10-25 | 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 | 2018-10-04 | 2018-10-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-04 | 2018-10-25 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-10-04 | 2018-10-25 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-10-02 | 2018-10-24 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2018-10-02 | 2018-10-24 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-02 | 2018-10-03 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-02 | 2018-10-03 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-10-02 | 2018-10-02 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-09-12 | 2017-10-10 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-18 | 2017-10-10 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-18 | 2017-10-04 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-09-18 | 2017-10-04 | N |
Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-09-18 | 2017-10-04 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-09-18 | 2017-10-04 | N |
Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-09-18 | 2017-10-04 | N |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-09-18 | 2017-10-04 | N |
Provide properly protected cooking facilities. | Fire Safety | 2017-09-12 | 2017-10-03 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-09-12 | 2017-10-03 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-09-12 | 2017-10-03 | N |
Keep residents' personal and medical records private and confidential. | Health | 2017-09-18 | 2017-10-03 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-09-12 | 2017-09-27 | N |
Have exits that are accessible at all times. | Fire Safety | 2017-09-12 | 2017-09-15 | N |
Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2017-09-12 | 2017-09-14 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2017-09-12 | 2017-09-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-09-12 | 2017-09-13 | N |