Deficiency Records for Casa Arena Healthcare LLC
Updated as of November 01, 2022
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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-31 | 2022-06-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-31 | 2022-06-18 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-01-25 | 2022-02-18 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2022-01-25 | 2022-02-18 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-01-25 | 2022-02-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-25 | 2022-02-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-25 | 2022-02-18 | 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 | 2022-01-25 | 2022-02-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-25 | 2022-02-18 | 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 | 2022-01-25 | 2022-02-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-25 | 2022-02-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-25 | 2022-02-18 | N |
| Report COVID19 data to residents and families. | Health | 2022-01-25 | 2022-02-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-25 | 2022-02-18 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-11 | 2022-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-11 | 2022-02-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-13 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-09-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-09-01 | 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 | 2020-09-25 | 2020-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-25 | 2020-10-23 | 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 | 2020-09-25 | 2020-10-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-09-25 | 2020-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-25 | 2020-10-23 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-24 | 2020-10-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2020-09-24 | 2020-10-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2020-09-24 | 2020-10-20 | N |
| 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 necessary and PRN use is limited. | 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 |
