Deficiency Records for Ladera Center
Updated as of January 01, 2021
This is not the most recent data for Ladera Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure that residents are free from significant medication errors. | Health | 2020-02-17 | 2020-05-06 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-12-31 | 2020-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-20 | 2019-09-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-20 | 2019-09-27 | Y |
| 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 | 2019-07-15 | 2019-08-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-15 | 2019-08-19 | 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 | 2019-07-15 | 2019-08-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-15 | 2019-08-19 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-07-15 | 2019-08-19 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-07-12 | 2019-08-19 | 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 | 2019-07-12 | 2019-08-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-12 | 2019-08-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-12 | 2019-08-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-12 | 2019-08-19 | 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 | 2019-07-12 | 2019-08-19 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-07-12 | 2019-08-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-07-12 | 2019-08-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-12 | 2019-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-12 | 2019-08-19 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-07-12 | 2019-08-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Develop a communication plan. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-08-30 | 2018-09-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-08-30 | 2018-09-29 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-08-30 | 2018-09-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-08-30 | 2018-09-29 | 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 | 2018-08-30 | 2018-09-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-08-30 | 2018-09-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-30 | 2018-09-29 | N |
| Provide activities to meet all resident's needs. | Health | 2018-08-30 | 2018-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-30 | 2018-09-29 | N |
| Post nurse staffing information every day. | Health | 2018-08-30 | 2018-09-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-08-30 | 2018-09-29 | 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 | 2018-08-30 | 2018-09-29 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-08-30 | 2018-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-08-30 | 2018-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-30 | 2018-09-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-21 | 2018-03-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-21 | 2018-03-23 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-07-31 | 2017-10-11 | N |
| Provide housekeeping and maintenance services. | Health | 2017-07-31 | 2017-10-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-31 | 2017-10-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-08-01 | 2017-08-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-08-01 | 2017-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-08-01 | 2017-08-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-01 | 2017-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-01 | 2017-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-08-01 | 2017-08-23 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2017-07-31 | 2017-08-23 | N |
| Let residents voice a complaint or grievance without being treated differently or badly. | Health | 2017-07-31 | 2017-08-23 | 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 | 2017-07-31 | 2017-08-23 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-07-31 | 2017-08-23 | N |
| Maintain comfortable sound levels. | Health | 2017-07-31 | 2017-08-23 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-07-31 | 2017-08-23 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-31 | 2017-08-23 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-07-31 | 2017-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-07-31 | 2017-08-23 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-07-31 | 2017-08-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-31 | 2017-08-23 | N |
