A list of the most recent deficiencies for Canyon Vista Post Acute. 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 policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-18 | 2023-09-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-28 | 2023-07-14 | Y |
| 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 | 2023-06-28 | 2023-07-14 | Y |
| 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 | 2023-06-28 | 2023-07-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-28 | 2023-07-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-28 | 2023-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-28 | 2023-07-14 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-01-26 | 2023-03-08 | 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 | 2023-01-26 | 2023-03-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-26 | 2023-03-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-27 | 2023-02-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-01-27 | 2023-02-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-27 | 2023-02-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-27 | 2023-02-23 | 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 | 2023-01-27 | 2023-02-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-27 | 2023-02-23 | 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 | 2023-01-27 | 2023-02-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-27 | 2023-02-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-01-27 | 2023-02-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-27 | 2023-02-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-27 | 2023-02-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-10 | 2022-07-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-10 | 2022-07-06 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-10 | 2022-07-06 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-06-10 | 2022-07-06 | Y |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-06-10 | 2022-07-06 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-04-07 | 2022-05-03 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-04-07 | 2022-05-03 | Y |
| 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 | 2022-04-07 | 2022-05-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-24 | 2021-11-18 | 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 | 2021-09-24 | 2021-11-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-24 | 2021-11-18 | N |
| Respond appropriately to all alleged violations. | Health | 2021-09-24 | 2021-11-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-24 | 2021-11-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-09-24 | 2021-11-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-24 | 2021-11-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-24 | 2021-11-18 | 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 | 2021-09-24 | 2021-11-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-24 | 2021-11-18 | 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 | 2021-09-24 | 2021-11-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-11-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-23 | 2021-11-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-09-23 | 2021-11-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-23 | 2021-11-15 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-03-24 | 2021-05-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-03-24 | 2021-05-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Meet other general requirements. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-09-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-12 | 2019-08-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-12 | 2019-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-12 | 2019-08-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-12 | 2019-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-12 | 2019-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-12 | 2019-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-12 | 2019-08-26 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-12 | 2019-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-08-26 | N |
