Deficiency Records for Restoracy of Carmel

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Updated as of March 01, 2024

A list of the most recent deficiencies for Restoracy of Carmel. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-03 2023-09-05 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-07-05 2023-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-05 2023-09-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-23 2023-04-03 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-08 2023-02-07 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 2022-12-08 2023-02-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-08 2023-02-07 N
Provide properly protected cooking facilities. Fire Safety 2023-01-11 2023-01-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-11 2023-01-13 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-11 2023-01-13 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 2022-12-08 2023-01-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-08 2023-01-08 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-12-08 2023-01-08 N
Ensure each resident receives an accurate assessment. Health 2022-12-08 2023-01-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-08 2023-01-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-08 2023-01-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-08 2023-01-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-12-08 2023-01-08 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-12-08 2023-01-08 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 2022-12-08 2023-01-08 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 2022-12-08 2023-01-08 N
Post nurse staffing information every day. Health 2022-12-08 2023-01-08 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-12-08 2023-01-08 N
Ensure medication error rates are not 5 percent or greater. Health 2022-12-08 2023-01-08 N
Provide and implement an infection prevention and control program. Health 2022-12-08 2023-01-08 N
Implement a program that monitors antibiotic use. Health 2022-12-08 2023-01-08 N
Ensure staff are vaccinated for COVID-19 Health 2022-12-08 2023-01-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-12-08 2023-01-08 N
Provide activities to meet all resident's needs. Health 2022-12-08 2023-01-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-08 2022-12-09 N
Respond appropriately to all alleged violations. Health 2022-12-08 2022-12-09 N
Provide and implement an infection prevention and control program. Health 2021-12-10 2022-01-05 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-12-10 2022-01-05 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-10-20 2021-11-16 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2021-10-20 2021-11-16 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2021-10-20 2021-11-16 N
Establish policies and procedures for volunteers. Fire Safety 2021-10-20 2021-11-16 N
Establish roles under a Waiver declared by secretary. Fire Safety 2021-10-20 2021-11-16 N
Develop a communication plan. Fire Safety 2021-10-20 2021-11-16 N
Provide family notifications of emergency plan. Fire Safety 2021-10-20 2021-11-16 N
Establish emergency prep training and testing. Fire Safety 2021-10-20 2021-11-16 N
Conduct testing and exercise requirements. Fire Safety 2021-10-20 2021-11-16 N
Implement emergency and standby power systems. Fire Safety 2021-10-20 2021-11-16 N
Provide properly protected cooking facilities. Fire Safety 2021-10-20 2021-11-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-10-20 2021-11-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-10-20 2021-11-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2021-10-20 2021-11-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-20 2021-11-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-10-20 2021-11-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-10-20 2021-11-16 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-10-20 2021-11-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-10-20 2021-11-16 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-10-04 2021-10-30 N
Provide enough food/fluids to maintain a resident's health. Health 2021-10-04 2021-10-30 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 2021-10-04 2021-10-30 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2021-10-04 2021-10-30 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-04 2021-10-30 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2021-10-04 2021-10-30 Y
Ensure medication error rates are not 5 percent or greater. Health 2021-10-04 2021-10-30 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-04 2021-10-30 Y
Provide and implement an infection prevention and control program. Health 2021-10-04 2021-10-30 Y
Provide and implement an infection prevention and control program. Health 2021-09-01 2021-09-21 Y
Provide and implement an infection prevention and control program. Health 2021-08-24 2021-09-21 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-08-09 2021-09-05 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-07 2021-07-29 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-24 2021-07-09 Y
Ensure each resident receives an accurate assessment. Health 2021-06-24 2021-07-09 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-06-24 2021-07-09 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-06-24 2021-07-09 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-06-24 2021-07-09 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2021-06-24 2021-07-09 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-05-20 2021-06-19 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 2021-05-20 2021-06-19 Y
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 2021-05-20 2021-06-19 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-05-20 2021-06-19 Y
Post nurse staffing information every day. Health 2021-05-20 2021-06-19 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-20 2021-06-19 Y
Provide and implement an infection prevention and control program. Health 2021-05-20 2021-06-19 Y
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2021-03-05 2021-04-04 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-03-05 2021-04-04 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-03-05 2021-04-04 Y
Respond appropriately to all alleged violations. Health 2021-03-05 2021-04-04 Y
Provide activities to meet all resident's needs. Health 2021-03-05 2021-04-04 Y
Provide enough food/fluids to maintain a resident's health. Health 2021-03-05 2021-04-04 Y
Post nurse staffing information every day. Health 2021-03-05 2021-04-04 Y
Ensure medication error rates are not 5 percent or greater. Health 2021-03-05 2021-04-04 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-03-05 2021-04-04 Y
Conduct testing and exercise requirements. Fire Safety 2019-09-10 2019-10-24 N
Provide properly protected cooking facilities. Fire Safety 2019-09-10 2019-10-24 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-09-10 2019-10-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-09-10 2019-10-24 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2019-09-10 2019-10-24 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-09-10 2019-10-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-08-02 2019-09-01 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2019-08-02 2019-09-01 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 2019-08-02 2019-09-01 N
Provide enough food/fluids to maintain a resident's health. Health 2019-08-02 2019-09-01 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2019-08-02 2019-09-01 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 2019-08-02 2019-09-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-02 2019-09-01 N
Provide and implement an infection prevention and control program. Health 2019-08-02 2019-09-01 N