Deficiency Records for Canyon Transitional Rehabilitation Center, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Canyon Transitional Rehabilitation Center, 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 a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-10-31 | 2023-11-17 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-31 | 2023-11-17 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-08-15 | 2023-10-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-15 | 2023-10-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-15 | 2023-10-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-15 | 2023-10-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-15 | 2023-10-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-15 | 2023-10-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-15 | 2023-10-15 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-08-21 | 2023-10-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-21 | 2023-10-05 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-21 | 2023-10-05 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-08-21 | 2023-10-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-21 | 2023-10-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-21 | 2023-10-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-21 | 2023-10-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-10-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-21 | 2023-10-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-21 | 2023-10-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-21 | 2023-10-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-21 | 2023-10-05 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-08-21 | 2023-10-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-08-21 | 2023-10-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-21 | 2023-10-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-21 | 2023-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-21 | 2023-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-21 | 2023-08-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-04-06 | 2023-05-29 | 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 | 2023-04-06 | 2023-04-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-06 | 2023-04-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-06 | 2023-04-06 | Y |
| 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 | 2022-04-28 | 2022-06-07 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-28 | 2022-06-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-04-28 | 2022-06-07 | Y |
| 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 | 2022-04-28 | 2022-06-07 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-28 | 2022-06-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-28 | 2022-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-04-28 | 2022-06-07 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-04-27 | 2022-05-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-04-27 | 2022-05-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-02-17 | 2021-03-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-02-17 | 2021-03-29 | 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 | 2021-02-17 | 2021-03-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-17 | 2021-03-29 | 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 | 2021-02-17 | 2021-03-29 | N |
| Provide activities to meet all resident's needs. | Health | 2021-02-17 | 2021-03-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-17 | 2021-03-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-17 | 2021-03-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-17 | 2021-03-29 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-02-17 | 2021-03-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-02-17 | 2021-03-29 | 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 | 2021-02-17 | 2021-03-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-17 | 2021-03-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-17 | 2021-03-29 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-02-17 | 2021-03-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-02-02 | 2021-03-29 | 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 | 2021-02-02 | 2021-03-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-02 | 2021-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-02-02 | 2021-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-02-02 | 2021-03-29 | N |
