Deficiency Records for Casa Del Sol Center
Updated as of November 01, 2019
This is not the most recent data for Casa Del Sol Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2019-04-25 | 2019-05-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-25 | 2019-05-25 | Y |
| 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 | 2019-04-25 | 2019-05-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-25 | 2019-05-25 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-23 | 2019-03-15 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-01-29 | 2019-03-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-29 | 2019-03-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-01-29 | 2019-03-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-01-29 | 2019-03-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-01-29 | 2019-03-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-29 | 2019-03-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-29 | 2019-03-15 | 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 | 2019-01-29 | 2019-03-15 | 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 | 2019-01-29 | 2019-03-15 | 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 | 2019-01-29 | 2019-03-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-01-29 | 2019-03-15 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-01-29 | 2019-03-15 | 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 | 2019-01-29 | 2019-03-15 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-01-29 | 2019-03-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-01-29 | 2019-03-15 | 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 ne | Health | 2019-01-29 | 2019-03-15 | 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 | 2019-01-29 | 2019-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-29 | 2019-03-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-01-29 | 2019-03-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-29 | 2019-03-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-01-03 | 2018-02-14 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2018-01-03 | 2018-02-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-17 | 2018-02-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-17 | 2018-02-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-17 | 2018-02-14 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-01-17 | 2018-02-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-17 | 2018-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-17 | 2018-02-14 | 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 | 2018-01-17 | 2018-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-17 | 2018-02-14 | N |
| Provide activities to meet all resident's needs. | Health | 2018-01-17 | 2018-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-17 | 2018-02-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-17 | 2018-02-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-01-17 | 2018-02-14 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-01-17 | 2018-02-14 | 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 | 2018-01-17 | 2018-02-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-17 | 2018-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-17 | 2018-02-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2018-01-17 | 2018-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-17 | 2018-02-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-01-17 | 2018-02-14 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-06-27 | 2017-07-27 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-06-27 | 2017-07-27 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-06-27 | 2017-07-27 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-06-27 | 2017-07-27 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-01-27 | 2017-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-01-27 | 2017-03-21 | N |
| Honor a residents' rights as a residents of the nursing home, free of coercion and reprisal, and as citizens or residents of the United States. | Health | 2017-01-27 | 2017-03-17 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-27 | 2017-03-17 | N |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-01-27 | 2017-03-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-27 | 2017-03-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-27 | 2017-03-17 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-27 | 2017-03-17 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-01-27 | 2017-03-17 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-27 | 2017-03-17 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-27 | 2017-03-17 | N |
| Ensure that residents receive proper treatment and assistive devices to maintain their vision and hearing. | Health | 2017-01-27 | 2017-03-17 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-27 | 2017-03-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-27 | 2017-03-17 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-01-27 | 2017-03-17 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-01-27 | 2017-03-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-01-27 | 2017-03-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-27 | 2017-03-17 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-27 | 2017-03-17 | 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 | 2017-01-24 | 2017-03-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-24 | 2017-03-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-01-24 | 2017-03-03 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-24 | 2017-03-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2016-12-07 | 2017-01-19 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-07 | 2017-01-19 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-12-07 | 2017-01-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-12-07 | 2017-01-13 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-12-07 | 2017-01-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-12-07 | 2017-01-13 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2016-12-07 | 2017-01-13 | Y |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-12-07 | 2017-01-13 | Y |
