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 |