A list of the most recent deficiencies for Ranch House Senior Living LLC. 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? |
|---|---|---|---|---|
| Meet other general requirements. | Fire Safety | 2023-10-18 | 2023-11-17 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-10-18 | 2023-11-17 | Y |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Have properly spaced exits within rooms. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-09-13 | 2023-10-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-13 | 2023-10-03 | 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 | 2023-07-31 | 2023-08-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-31 | 2023-08-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-31 | 2023-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-31 | 2023-08-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-31 | 2023-08-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-31 | 2023-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-31 | 2023-08-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-31 | 2023-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-31 | 2023-08-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-07-31 | 2023-08-21 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-07-31 | 2023-08-21 | N |
| Have properly spaced exits within rooms. | Fire Safety | 2021-12-14 | 2022-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-14 | 2022-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-14 | 2022-01-13 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2021-12-14 | 2021-12-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-12-14 | 2021-12-14 | 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 | 2021-10-28 | 2021-11-24 | 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 | 2021-10-28 | 2021-11-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-28 | 2021-11-24 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-10-28 | 2021-11-24 | Y |
| 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 | 2021-10-28 | 2021-11-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-28 | 2021-11-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-11 | 2021-03-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-11 | 2021-03-17 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2021-03-11 | 2021-03-17 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-03-11 | 2021-03-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-17 | 2020-02-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-01-17 | 2020-02-14 | 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 | 2020-01-17 | 2020-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-17 | 2020-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-17 | 2020-02-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-01-17 | 2020-02-14 | N |
| 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 | 2020-01-17 | 2020-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-17 | 2020-02-14 | N |
