Deficiency Records for Fiesta Park Wellness and Rehabilitation

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Updated as of May 01, 2024

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Deficiency Records for Fiesta Park Wellness and Rehabilitation

A list of the most recent deficiencies for Fiesta Park Wellness and Rehabilitation. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.

A list of the most recent deficiencies for Fiesta Park Wellness and Rehabilitation. 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 2023-11-09 2023-12-15 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-11-09 2023-12-15 N
Ensure each resident receives an accurate assessment. Health 2023-11-09 2023-12-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-11-09 2023-12-15 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-11-09 2023-12-15 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 2023-11-09 2023-12-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-09 2023-12-15 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 2023-11-07 2023-12-15 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 2023-11-07 2023-12-15 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-11-07 2023-12-15 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-11-07 2023-12-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-04 2023-08-05 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-06-28 2023-07-28 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-06-28 2023-07-28 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-08-01 2022-09-16 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 2022-08-01 2022-09-16 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-08-01 2022-09-16 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2022-08-01 2022-09-16 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-08-01 2022-09-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-01 2022-09-16 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-01 2022-09-16 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 2022-08-01 2022-09-16 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 2022-08-01 2022-09-16 N
Ensure medication error rates are not 5 percent or greater. Health 2022-08-01 2022-09-16 N
Ensure that residents are free from significant medication errors. Health 2022-08-01 2022-09-16 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 2022-08-01 2022-09-16 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-08-01 2022-09-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-01 2022-09-16 N
Provide or get specialized rehabilitative services as required for a resident. Health 2022-08-01 2022-09-16 N
Provide and implement an infection prevention and control program. Health 2022-08-01 2022-09-16 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-08-01 2022-09-16 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-08-01 2022-09-16 Y
Have properly located and lighted "Exit" signs. Fire Safety 2022-08-02 2022-09-16 N
Provide properly protected cooking facilities. Fire Safety 2022-08-02 2022-09-16 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-08-02 2022-09-16 N
Meet other general requirements that are deficient. Fire Safety 2022-08-02 2022-09-16 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-02 2022-09-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-02 2022-09-16 N
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2022-06-30 2022-08-19 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 2022-06-30 2022-08-19 Y
Ensure that residents are free from significant medication errors. Health 2022-06-30 2022-08-19 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-30 2022-08-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-12 2021-12-28 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 2021-11-12 2021-12-28 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-11-12 2021-12-28 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-11-12 2021-12-28 Y
Provide and implement an infection prevention and control program. Health 2021-11-12 2021-12-28 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 2021-04-22 2021-06-10 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2021-04-22 2021-06-10 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 2021-04-22 2021-06-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-04-22 2021-06-10 N
Ensure each resident receives an accurate assessment. Health 2021-04-22 2021-06-10 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 2021-04-22 2021-06-10 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-04-22 2021-06-10 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-22 2021-06-10 N
Provide activities to meet all resident's needs. Health 2021-04-22 2021-06-10 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-04-22 2021-06-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-22 2021-06-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-04-22 2021-06-10 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 2021-04-22 2021-06-10 N
Ensure medication error rates are not 5 percent or greater. Health 2021-04-22 2021-06-10 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 2021-04-22 2021-06-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-04-22 2021-06-10 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-04-22 2021-06-10 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-04-21 2021-05-28 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-04-21 2021-05-28 N
Have proper fire barriers, ventilation and signs for the transfilling of oxygen. Fire Safety 2021-04-21 2021-05-28 N

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