CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Carmel Hills Wellness and Rehabilitation
View the most recent health deficiencies and inspection results for Carmel Hills Wellness and Rehabilitation. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Carmel Hills Wellness and Rehabilitation. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-21 | 2025-07-02 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2025-05-21 | 2025-07-02 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-05-21 | 2025-07-02 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-21 | 2025-07-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-21 | 2025-07-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-05-21 | 2025-07-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-21 | 2025-04-22 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-01-16 | 2025-02-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-11-25 | 2025-02-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-11-25 | 2025-02-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-16 | 2025-02-11 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-25 | 2025-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-25 | 2025-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-25 | 2025-01-09 | 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 | 2024-11-25 | 2025-01-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-11-25 | 2025-01-09 | 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 | 2024-11-25 | 2025-01-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-25 | 2025-01-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-11-25 | 2025-01-09 | 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 | 2024-11-25 | 2025-01-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-25 | 2025-01-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-25 | 2025-01-09 | 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 | 2024-11-25 | 2025-01-09 | N |
| Provide or obtain dental services for each resident. | Health | 2024-11-25 | 2025-01-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-25 | 2025-01-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-11-25 | 2025-01-09 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-11-25 | 2025-01-09 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-11-25 | 2025-01-09 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-25 | 2025-01-09 | 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 | 2024-11-25 | 2025-01-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-25 | 2025-01-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-11-25 | 2025-01-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-11-25 | 2025-01-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-25 | 2025-01-09 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-10-16 | 2024-09-11 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-28 | 2024-07-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-01 | 2024-02-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-02-01 | 2024-02-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-07 | 2023-09-08 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-09-07 | 2023-09-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-29 | 2023-05-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-29 | 2023-05-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-29 | 2023-05-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-03-29 | 2023-05-13 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-03-29 | 2023-05-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-29 | 2023-05-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-29 | 2023-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-29 | 2023-05-13 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-03-29 | 2023-05-13 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-29 | 2023-05-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-29 | 2023-05-13 | N |
| Keep all essential equipment working safely. | Health | 2023-03-29 | 2023-05-13 | N |
| Have policies on smoking. | Health | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-29 | 2023-05-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have an externally vented heating system. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-29 | 2023-05-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | 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 | 2023-03-29 | 2023-05-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-29 | 2023-05-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-29 | 2023-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-29 | 2023-05-13 | N |
| Keep all essential equipment working safely. | Health | 2020-03-09 | 2020-04-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-09 | 2020-04-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-03-09 | 2020-04-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-03-09 | 2020-04-23 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2020-03-09 | 2020-04-23 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-03-09 | 2020-04-23 | 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 | 2020-03-09 | 2020-04-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-09 | 2020-04-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-09 | 2020-04-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-09 | 2020-04-23 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-09 | 2020-04-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-09 | 2020-04-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-03-09 | 2020-04-23 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2020-03-09 | 2020-04-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-09 | 2020-04-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-09 | 2020-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-09 | 2020-04-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-09 | 2020-04-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-31 | Not Fixed | Y |