A list of the most recent deficiencies for Ladera 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-31 | 2023-10-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-31 | 2023-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-06 | 2023-10-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-06 | 2023-10-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-06 | 2023-10-17 | 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 | 2023-09-06 | 2023-10-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-06 | 2023-10-17 | 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 | 2023-09-06 | 2023-10-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-06 | 2023-10-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-09-06 | 2023-10-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-06 | 2023-10-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-06 | 2023-10-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-06 | 2023-10-17 | 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 | 2023-09-06 | 2023-10-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-06 | 2023-10-17 | N |
| Provide activities to meet all resident's needs. | Health | 2023-09-06 | 2023-10-17 | N |
| Provide appropriate foot care. | Health | 2023-09-06 | 2023-10-17 | 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 | 2023-09-06 | 2023-10-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-06 | 2023-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-06 | 2023-10-17 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-06 | 2023-10-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-06 | 2023-10-17 | 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 | 2023-09-06 | 2023-10-17 | 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 | 2023-09-06 | 2023-10-17 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-09-06 | 2023-10-17 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-06 | 2023-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-06 | 2023-10-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-06 | 2023-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-06 | 2023-10-17 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-29 | 2023-10-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-29 | 2023-10-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-08-29 | 2023-10-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-29 | 2023-10-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-29 | 2023-10-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-23 | 2023-06-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-23 | 2023-06-23 | Y |
| 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 | 2023-02-17 | 2023-03-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-05 | 2022-07-19 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-05-05 | 2022-07-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-05 | 2022-07-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-05 | 2022-07-19 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-05 | 2022-07-19 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-05-05 | 2022-07-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-05-05 | 2022-07-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-07 | 2022-07-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-07 | 2022-07-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-06-01 | 2022-07-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-01 | 2022-07-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-06-01 | 2022-07-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-06-01 | 2022-07-19 | 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 | 2022-06-01 | 2022-07-19 | 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 | 2022-06-01 | 2022-07-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-06-01 | 2022-07-19 | 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 | 2022-06-01 | 2022-07-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-01 | 2022-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-01 | 2022-07-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-01 | 2022-07-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-01 | 2022-07-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-06-01 | 2022-07-19 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-01 | 2022-07-19 | 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 | 2022-06-01 | 2022-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-01 | 2022-07-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-01 | 2022-07-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-01 | 2022-07-19 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-01 | 2022-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-25 | 2022-07-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-05-25 | 2022-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-25 | 2022-07-11 | 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 | 2022-03-07 | 2022-04-26 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-03-07 | 2022-04-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-07 | 2022-04-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-07 | 2022-04-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-07 | 2022-04-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-10 | 2022-01-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2022-01-24 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-16 | 2021-11-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-16 | 2021-11-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-16 | 2021-11-01 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-02-03 | 2021-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-03 | 2021-03-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-03 | 2021-03-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-02-03 | 2021-03-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-03 | 2021-03-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-02-03 | 2021-03-15 | N |
| Post nurse staffing information every day. | Health | 2021-02-03 | 2021-03-15 | 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 | 2021-02-03 | 2021-03-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-02-03 | 2021-03-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-02-03 | 2021-03-15 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-01-27 | 2021-03-15 | 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 | 2021-01-27 | 2021-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-01-27 | 2021-03-15 | N |
