Deficiency Records for Casa Arena Healthcare LLC
Updated as of June 01, 2019
This is not the most recent data for Casa Arena Healthcare LLC. For the most recent information, click here.
A list of the most recent deficiencies for Casa Arena Healthcare LLC. 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? |
|---|---|---|---|---|
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-02-28 | 2019-03-27 | 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 | 2019-02-28 | 2019-03-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-28 | 2019-03-27 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-02-28 | 2019-03-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-28 | 2019-03-27 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-02-28 | 2019-03-27 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-02-28 | 2019-03-27 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-28 | 2019-03-27 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-02-28 | 2019-03-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-02-28 | 2019-03-27 | N |
| 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 | 2019-02-28 | 2019-03-27 | 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 | 2019-02-28 | 2019-03-27 | 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 ne | Health | 2019-02-28 | 2019-03-27 | 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 | 2019-02-28 | 2019-03-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-28 | 2019-03-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-02-28 | 2019-03-27 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-02-28 | 2019-03-27 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-04-02 | 2018-06-22 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-04-02 | 2018-06-22 | 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 | 2018-04-02 | 2018-06-22 | 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 | 2018-04-02 | 2018-06-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-04-02 | 2018-06-22 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-04-02 | 2018-06-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-02 | 2018-06-22 | 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 | 2018-04-02 | 2018-06-22 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-04-02 | 2018-06-22 | 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 | 2018-04-02 | 2018-06-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-02 | 2018-06-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install | Health | 2018-04-02 | 2018-06-22 | 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 | 2018-04-02 | 2018-06-22 | N |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2018-04-02 | 2018-06-22 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-04-02 | 2018-06-22 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-04-02 | 2018-06-22 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-04-02 | 2018-06-22 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-04-02 | 2018-06-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-02 | 2018-06-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-04-02 | 2018-06-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-04-02 | 2018-06-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-04 | 2018-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-04 | 2018-04-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-04-04 | 2018-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-04-18 | 2017-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-04-18 | 2017-05-30 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-04-21 | 2017-05-09 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-21 | 2017-05-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-21 | 2017-05-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-04-18 | 2017-04-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-11-14 | 2016-12-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-11-14 | 2016-12-21 | Y |
| 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 | 2016-11-14 | 2016-12-21 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-11-14 | 2016-12-21 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-11-14 | 2016-12-21 | Y |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-11-14 | 2016-12-21 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-11-14 | 2016-12-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-11-14 | 2016-12-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-03 | 2016-12-21 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-03 | 2016-12-21 | Y |
| 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 | 2016-10-03 | 2016-12-21 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-10-03 | 2016-12-21 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-03 | 2016-12-21 | Y |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-10-03 | 2016-12-21 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2016-10-03 | 2016-12-21 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-03 | 2016-12-21 | 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 | 2016-11-14 | 2016-12-09 | Y |
| 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 | 2016-11-14 | 2016-12-09 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-11-14 | 2016-12-09 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-11-14 | 2016-12-09 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-11-14 | 2016-12-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-11-14 | 2016-12-09 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-11-14 | 2016-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-11-14 | 2016-12-09 | 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 | 2016-10-03 | 2016-12-09 | Y |
| 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 | 2016-10-03 | 2016-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-03 | 2016-12-09 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-10-03 | 2016-12-09 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-03 | 2016-10-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-10-03 | 2016-10-31 | Y |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-10-03 | 2016-10-31 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-10-03 | 2016-10-31 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-03 | 2016-10-31 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-03 | 2016-10-31 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-06-23 | 2016-07-21 | Y |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-06-23 | 2016-06-23 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-23 | 2016-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-23 | 2016-06-23 | Y |
