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Deficiency Records for Spanish Hills Wellness Suites
View the most recent health deficiencies and inspection results for Spanish Hills Wellness Suites. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Spanish Hills Wellness Suites. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2026-02-27 | 2026-04-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2026-02-27 | 2026-04-16 | N |
| Develop a communication plan. | Fire Safety | 2026-02-27 | 2026-04-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2026-02-27 | 2026-04-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2026-02-27 | 2026-04-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2026-02-27 | 2026-04-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2026-02-27 | 2026-04-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-02-27 | 2026-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2026-02-27 | 2026-03-30 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2026-02-27 | 2026-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-02-27 | 2026-03-28 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2026-02-27 | 2026-03-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-02-27 | 2026-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-27 | 2026-03-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2026-02-27 | 2026-03-28 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-02-27 | 2026-03-28 | N |
| Dispose of garbage and refuse properly. | Health | 2026-02-27 | 2026-03-28 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2026-02-27 | 2026-03-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-02-27 | 2026-03-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2026-02-27 | 2026-03-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2026-02-27 | 2026-03-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2026-02-27 | 2026-03-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2026-02-27 | 2026-03-26 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-02-27 | 2026-03-26 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2026-02-27 | 2026-03-26 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-02-27 | 2026-03-25 | N |
| Respond appropriately to all alleged violations. | Health | 2025-03-06 | 2025-03-27 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-01-10 | 2025-02-07 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2025-01-10 | 2025-02-07 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-01-10 | 2025-02-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-01-10 | 2025-02-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-01-10 | 2025-02-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2025-01-10 | 2025-02-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2025-01-10 | 2025-02-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-01-10 | 2025-02-04 | 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 | 2025-01-10 | 2025-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-01-10 | 2025-02-04 | N |
| Provide activities to meet all resident's needs. | Health | 2025-01-10 | 2025-02-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-10 | 2025-02-04 | 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 | 2025-01-10 | 2025-02-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-10 | 2025-02-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-01-10 | 2025-02-04 | 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 | 2025-01-10 | 2025-02-04 | 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 | 2025-01-10 | 2025-02-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-10 | 2025-02-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-10 | 2025-02-04 | 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 | 2025-01-10 | 2025-02-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-01-10 | 2025-02-04 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-01-10 | 2025-02-04 | 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 | 2024-08-15 | 2024-09-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-15 | 2024-09-11 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-12 | 2024-02-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-01-12 | 2024-02-09 | 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 | 2024-01-12 | 2024-02-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-12 | 2024-02-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-12 | 2024-02-09 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-12 | 2024-02-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-12 | 2024-02-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-12 | 2024-02-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-12 | 2024-02-02 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-01-12 | 2024-02-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-12 | 2024-02-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-12 | 2024-02-02 | 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 | 2024-01-12 | 2024-02-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-12 | 2024-02-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-12 | 2024-02-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-12 | 2024-02-02 | 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 | 2023-08-24 | 2023-09-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-24 | 2023-09-08 | 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 | 2023-06-14 | 2023-07-01 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-06-14 | 2023-07-01 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-06-14 | 2023-07-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-14 | 2023-07-01 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-14 | 2023-07-01 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-14 | 2023-07-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-14 | 2023-07-01 | Y |