Deficiency Records for Las Palomas Center
Updated as of November 01, 2021
This is not the most recent data for Las Palomas Center. For the most recent information, click here.
A list of the most recent deficiencies for Las Palomas Center. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-30 | 2021-08-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-30 | 2021-08-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-30 | 2021-08-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-06-30 | 2021-08-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-16 | 2021-02-12 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-12-16 | 2021-02-12 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-12-16 | 2021-02-12 | 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 | 2020-12-16 | 2021-02-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-12-16 | 2021-02-12 | 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 | 2020-12-16 | 2021-02-12 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-12-16 | 2021-02-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-12-16 | 2021-02-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-16 | 2021-02-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-12-16 | 2021-02-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-12-16 | 2021-02-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-12-16 | 2021-02-12 | 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 | 2020-12-16 | 2021-02-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-16 | 2021-02-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-12-08 | 2021-02-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-12-08 | 2021-02-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-26 | 2020-03-20 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2020-02-26 | 2020-03-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-15 | 2020-02-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-13 | 2019-10-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-13 | 2019-10-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-21 | 2019-09-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-08-21 | 2019-09-23 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-15 | 2019-07-01 | 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 | 2019-05-15 | 2019-07-01 | 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 | 2019-05-15 | 2019-07-01 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2019-05-15 | 2019-07-01 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-15 | 2019-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-15 | 2019-07-01 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-05-15 | 2019-07-01 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-05-15 | 2019-07-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-15 | 2019-07-01 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-15 | 2019-07-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-15 | 2019-07-01 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-05-07 | 2019-07-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-05-07 | 2019-07-01 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-07 | 2019-07-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-07 | 2019-07-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-05-07 | 2019-07-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-13 | 2019-03-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-07-02 | 2018-08-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-02 | 2018-08-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-02 | 2018-08-10 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-07-02 | 2018-08-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-02 | 2018-08-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-07-02 | 2018-08-10 | 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 | 2018-07-02 | 2018-08-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-02 | 2018-08-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-07-02 | 2018-08-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-07-02 | 2018-08-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-02 | 2018-08-10 | 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 | 2018-07-02 | 2018-08-10 | 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 | 2018-07-02 | 2018-08-10 | 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 | 2018-07-02 | 2018-08-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-02 | 2018-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-02 | 2018-08-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-27 | 2018-08-10 | N |
