Deficiency Records for Spanish Hills Wellness Suites
Updated as of March 01, 2018
This is not the most recent data for Spanish Hills Wellness Suites. For the most recent information, click here.
A list of the most recent deficiencies for Spanish Hills Wellness Suites. 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? |
|---|---|---|---|---|
| Provide housekeeping and maintenance services. | Health | 2017-05-16 | 2017-06-16 | Y |
| Provide clean bed and bath linens that are in good condition. | Health | 2017-05-16 | 2017-06-16 | Y |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-05-16 | 2017-06-16 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2016-12-22 | 2017-02-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2016-12-22 | 2017-01-13 | N |
| Allow residents to self-administer drugs if determined safe. | Health | 2016-12-16 | 2017-01-13 | N |
| 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 | 2016-12-16 | 2017-01-13 | 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 | 2016-12-16 | 2017-01-13 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2016-12-16 | 2017-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-12-16 | 2017-01-13 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2016-12-16 | 2017-01-13 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-12-16 | 2017-01-13 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-12-16 | 2017-01-13 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-16 | 2017-01-13 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-12-16 | 2017-01-13 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-12-16 | 2017-01-13 | Y |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2016-12-16 | 2017-01-13 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2016-12-22 | 2017-01-11 | 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 | 2016-09-21 | 2016-10-17 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-12-04 | 2015-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-12-01 | Not Fixed | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2017-12-04 | Not Fixed | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2017-12-04 | Not Fixed | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2017-12-04 | Not Fixed | 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 | 2017-12-04 | Not Fixed | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-04 | Not Fixed | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2017-12-04 | Not Fixed | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2017-12-04 | Not Fixed | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2017-12-04 | Not Fixed | N |
| Provide appropriate foot care. | Health | 2017-12-04 | Not Fixed | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2017-12-04 | Not Fixed | 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 | 2017-12-04 | Not Fixed | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2017-12-04 | Not Fixed | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2017-12-04 | Not Fixed | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2017-12-04 | Not Fixed | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2017-12-04 | Not Fixed | 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 | 2017-12-04 | Not Fixed | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-04 | Not Fixed | N |
