Deficiency Records for El Dorado Care and Rehab
Updated as of October 01, 2020
This is not the most recent data for El Dorado Care and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for El Dorado Care and Rehab. 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-10 | 2020-03-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-10 | 2020-03-09 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-02-10 | 2020-03-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-10 | 2020-03-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-02 | 2019-12-20 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| 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 | 2019-06-27 | 2019-07-19 | 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 | 2019-06-27 | 2019-07-19 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-06-27 | 2019-07-19 | 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 | 2019-06-27 | 2019-07-19 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2019-06-27 | 2019-07-19 | N |
| 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 | 2019-06-27 | 2019-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-06-27 | 2019-07-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-06-27 | 2019-07-19 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-06-27 | 2019-07-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-06-27 | 2019-07-19 | 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 | 2019-06-27 | 2019-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-27 | 2019-07-19 | N |
| Keep all essential equipment working safely. | Health | 2019-06-27 | 2019-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-27 | 2019-07-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-27 | 2019-07-19 | 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 | 2019-01-23 | 2019-02-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-23 | 2019-02-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-27 | 2018-10-27 | N |
| Respond appropriately to all alleged violations. | Health | 2018-09-27 | 2018-10-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-27 | 2018-10-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-27 | 2018-10-27 | 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 | 2018-09-27 | 2018-10-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-27 | 2018-10-27 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-23 | 2018-07-02 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-04-23 | 2018-07-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-04-23 | 2018-07-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-23 | 2018-07-02 | N |
| Develop a communication plan. | Fire Safety | 2018-04-23 | 2018-07-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-23 | 2018-07-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-23 | 2018-07-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-19 | 2018-03-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-08-25 | 2017-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-11 | 2017-09-14 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-11 | 2017-08-25 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-07-11 | 2017-08-25 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-07-11 | 2017-08-25 | Y |
| Keep all essential equipment working safely. | Health | 2017-07-11 | 2017-08-25 | Y |
| 1) Receive registry verification that a nurse aide has met the required training and skills that the State requires; and 2) ensure nurse aides receive the required retraining after 24 months if nursing related services were not provided for monetary compensation. | Health | 2017-07-11 | 2017-08-25 | Y |
| Listen to the resident groups and act on their complaints and suggestions that affect resident care and life. | Health | 2017-03-08 | 2017-04-05 | N |
| Provide housekeeping and maintenance services. | Health | 2017-03-08 | 2017-04-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-08 | 2017-04-05 | 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 | 2017-03-08 | 2017-04-05 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-03-08 | 2017-04-05 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-03-08 | 2017-04-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-08 | 2017-04-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-03-08 | 2017-04-05 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-08 | 2017-04-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-08 | 2017-04-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-08 | 2017-04-05 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-08 | 2017-04-05 | N |
| Have enough outside ventilation via a window or mechanical ventilation, or both. | Health | 2017-03-08 | 2017-04-05 | N |
