A list of the most recent deficiencies for Casa Del Sol 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-12 | 2024-02-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-12-12 | 2024-02-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-12 | 2024-02-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-15 | 2024-02-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-15 | 2024-02-06 | 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 | 2023-12-15 | 2024-02-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-15 | 2024-02-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-12-15 | 2024-02-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-21 | 2023-01-20 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-11-21 | 2023-01-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-21 | 2023-01-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-21 | 2023-01-20 | 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 | 2022-11-21 | 2023-01-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-11-21 | 2023-01-20 | 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 | 2022-11-21 | 2023-01-20 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-11-21 | 2023-01-20 | 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 | 2022-11-21 | 2023-01-20 | 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 | 2022-11-21 | 2023-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2023-01-20 | 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 | 2022-11-21 | 2023-01-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-15 | 2023-01-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-15 | 2023-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-15 | 2023-01-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-11-15 | 2023-01-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-06 | 2022-02-06 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-09-10 | 2021-10-10 | 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 | 2021-09-10 | 2021-10-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-10 | 2021-10-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-10 | 2021-10-10 | 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 | 2021-09-10 | 2021-10-10 | 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 | 2021-09-10 | 2021-10-10 | 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 | 2021-09-10 | 2021-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-10 | 2021-10-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-09-10 | 2021-10-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-09-10 | 2021-10-10 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-07 | 2021-10-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-07 | 2021-10-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-07 | 2021-10-10 | N |
