Deficiency Records for Casa De Oro Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Casa De Oro 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?
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-11-20 2024-01-18 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-20 2024-01-18 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-11-20 2024-01-18 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 2023-11-20 2024-01-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-11-20 2024-01-18 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 2023-11-20 2024-01-18 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-11-20 2024-01-18 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 2023-11-20 2024-01-18 N
Observe each nurse aide's job performance and give regular training. Health 2023-11-20 2024-01-18 N
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-11-20 2024-01-18 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 2023-11-20 2024-01-18 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 2023-11-20 2024-01-18 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 2023-11-20 2024-01-18 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-20 2024-01-18 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-11-20 2024-01-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-20 2024-01-18 N
Provide or get specialized rehabilitative services as required for a resident. Health 2023-11-20 2024-01-18 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-11-20 2024-01-18 N
Provide and implement an infection prevention and control program. Health 2023-11-20 2024-01-18 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 2023-11-20 2024-01-18 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2023-11-20 2024-01-18 Y
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 2023-11-20 2024-01-18 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-11-20 2024-01-18 Y
Include a process for Emergency Preparedness collaboration. Fire Safety 2023-11-16 2024-01-18 N
Establish emergency prep training and testing. Fire Safety 2023-11-16 2024-01-18 N
Establish staff and initial training requirements. Fire Safety 2023-11-16 2024-01-18 N
Conduct testing and exercise requirements. Fire Safety 2023-11-16 2024-01-18 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2023-11-16 2024-01-18 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 2023-11-16 2024-01-18 N
Provide properly protected cooking facilities. Fire Safety 2023-11-16 2024-01-18 N
Install an approved automatic sprinkler system. Fire Safety 2023-11-16 2024-01-18 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-16 2024-01-18 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2023-11-16 2024-01-18 N
Install properly constructed windows in hallway walls or doors. Fire Safety 2023-11-16 2024-01-18 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-11-16 2024-01-18 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-16 2024-01-18 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-11-16 2024-01-18 N
Have power receptacles that are properly grounded. Fire Safety 2023-11-16 2024-01-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-15 2023-09-20 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 2023-08-15 2023-09-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-15 2023-09-20 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-08-15 2023-09-20 Y
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2023-02-28 2023-04-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-28 2023-04-03 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 2023-02-28 2023-04-03 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-02-28 2023-04-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-02-28 2023-04-03 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 2023-02-28 2023-04-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-28 2023-04-03 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 2023-02-28 2023-04-03 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-02-28 2023-04-03 N
Post nurse staffing information every day. Health 2023-02-28 2023-04-03 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-02-28 2023-04-03 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 2023-02-28 2023-04-03 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-02-28 2023-04-03 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-02-28 2023-04-03 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-02-28 2023-04-03 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 2023-02-28 2023-04-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-02-28 2023-04-03 Y
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 2023-02-28 2023-04-03 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-02-07 2023-04-03 N
Have properly located and lighted "Exit" signs. Fire Safety 2023-02-07 2023-04-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-02-07 2023-04-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-02-07 2023-04-03 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-09-23 2022-11-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-09-23 2022-11-11 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-09-23 2022-11-11 Y
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 2022-09-23 2022-11-11 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-23 2022-11-11 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 2022-09-23 2022-11-11 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-09-23 2022-11-11 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-23 2022-11-11 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-09-23 2022-11-11 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 2022-04-13 2022-05-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-13 2022-05-24 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-13 2022-05-24 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-13 2022-05-24 Y
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 2022-04-13 2022-05-24 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2022-04-13 2022-05-24 Y
Provide and implement an infection prevention and control program. Health 2022-04-13 2022-05-24 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-12-07 2022-01-19 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-12-07 2022-01-19 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 2021-12-07 2022-01-19 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-07 2022-01-19 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-12-07 2022-01-19 N
Ensure each resident receives an accurate assessment. Health 2021-12-07 2022-01-19 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2021-12-07 2022-01-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-12-07 2022-01-19 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 2021-12-07 2022-01-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-07 2022-01-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-07 2022-01-19 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 2021-12-07 2022-01-19 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-12-07 2022-01-19 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 2021-12-07 2022-01-19 N
Observe each nurse aide's job performance and give regular training. Health 2021-12-07 2022-01-19 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 2021-12-07 2022-01-19 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 2021-12-07 2022-01-19 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 2021-12-07 2022-01-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-12-07 2022-01-19 N
Provide and implement an infection prevention and control program. Health 2021-12-07 2022-01-19 N
Implement a program that monitors antibiotic use. Health 2021-12-07 2022-01-19 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-12-07 2022-01-19 Y
Have simulated fire drills held at unexpected times. Fire Safety 2021-11-30 2022-01-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-30 2022-01-19 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 2021-09-24 2021-11-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-24 2021-11-08 Y
Provide and implement an infection prevention and control program. Health 2021-09-24 2021-11-08 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-09-24 2021-10-11 Y