Deficiency Records for Coronado Ridge Skilled Nursing and Rehabilitation Ce
Updated as of March 01, 2024
A list of the most recent deficiencies for Coronado Ridge Skilled Nursing and Rehabilitation Ce. 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? |
|---|---|---|---|---|
| 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 | 2023-07-20 | 2023-10-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-20 | 2023-10-05 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-09-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-20 | 2023-09-13 | 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 | 2023-07-13 | 2023-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-28 | N |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-07-13 | 2023-08-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-08-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-13 | 2023-08-17 | 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 | 2023-07-13 | 2023-08-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-13 | 2023-08-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-12-29 | 2023-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-29 | 2023-02-16 | 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 | 2022-12-29 | 2023-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-02-16 | 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 | 2022-06-21 | 2022-06-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-01 | 2022-05-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-01 | 2022-05-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-01 | 2022-05-09 | N |
| Provide appropriate foot care. | Health | 2022-04-01 | 2022-05-09 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-04-01 | 2022-05-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-01 | 2022-05-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-01 | 2022-05-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-04-01 | 2022-05-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-03-31 | 2022-05-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-31 | 2022-05-04 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-03-31 | 2022-05-02 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-31 | 2022-05-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-03-31 | 2022-05-02 | N |
| Develop a communication plan. | Fire Safety | 2022-03-31 | 2022-05-02 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-03-31 | 2022-05-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-03-31 | 2022-05-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-31 | 2022-04-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-03-31 | 2022-04-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-31 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-31 | 2022-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-10-20 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-07-30 | 2021-08-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Have an externally vented heating system. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-12 | 2020-01-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-12 | 2020-01-10 | 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 | 2019-12-12 | 2020-01-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-12 | 2020-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-12 | 2020-01-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-12 | 2020-01-10 | 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 | 2019-12-12 | 2020-01-10 | 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 | 2019-12-12 | 2020-01-10 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-12-12 | 2020-01-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-01-10 | 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 | 2019-12-12 | 2020-01-10 | 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 | 2019-12-12 | 2020-01-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-12-12 | 2020-01-10 | 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 | 2019-12-12 | 2020-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-12 | 2020-01-10 | N |
