Deficiency Records for Casa De Oro Center
Updated as of April 01, 2023
This is not the most recent data for Casa De Oro Center. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2020-09-04 | 2020-11-13 | N |
Provide and implement an infection prevention and control program. | Health | 2020-09-04 | 2020-11-13 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-09-04 | 2020-11-06 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-04 | 2020-11-06 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-09-04 | 2020-11-06 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-04 | 2020-11-06 | 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 | 2020-09-04 | 2020-11-06 | 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 | 2020-09-04 | 2020-11-06 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-04 | 2020-11-06 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-09-04 | 2020-11-06 | Y |
Address patient/client population and determine types of services needed. | Fire Safety | 2020-09-01 | 2020-11-06 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-09-01 | 2020-11-06 | N |
Establish emergency prep training and testing. | Fire Safety | 2020-09-01 | 2020-11-06 | N |
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 | 2020-09-01 | 2020-11-06 | 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 | 2020-09-01 | 2020-11-06 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-09-01 | 2020-11-06 | N |
Meet fire sprinkler requirement for tall buildings. | Fire Safety | 2020-09-01 | 2020-11-06 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-01 | 2020-11-06 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2020-09-01 | 2020-11-06 | N |
Provide and implement an infection prevention and control program. | Health | 2020-05-18 | 2020-06-26 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2020-05-18 | 2020-06-26 | N |
Keep residents' personal and medical records private and confidential. | Health | 2019-05-24 | 2019-06-28 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-24 | 2019-06-28 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-24 | 2019-06-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-24 | 2019-06-28 | 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 | 2019-05-24 | 2019-06-28 | N |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-05-24 | 2019-06-28 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-24 | 2019-06-28 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-24 | 2019-06-28 | 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 | 2019-05-24 | 2019-06-28 | 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 | 2019-05-24 | 2019-06-28 | N |
Provide and implement an infection prevention and control program. | Health | 2019-05-24 | 2019-06-28 | N |
Implement a program that monitors antibiotic use. | Health | 2019-05-24 | 2019-06-28 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Implement emergency and standby power systems. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-05-15 | 2019-06-28 | N |
Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-05-15 | 2019-06-28 | N |