Deficiency Records for Artesia Healthcare and Rehabilitation Center LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Artesia Healthcare and 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-21 | 2023-04-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-03-21 | 2023-04-20 | 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 | 2023-03-21 | 2023-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-21 | 2023-04-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-24 | 2023-04-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-24 | 2023-04-19 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-24 | 2023-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-17 | 2022-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-17 | 2022-04-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-17 | 2022-04-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-17 | 2022-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-04-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-17 | 2022-04-30 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-03-17 | 2022-04-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-17 | 2022-04-30 | 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 | 2022-03-17 | 2022-04-20 | 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 | 2022-03-17 | 2022-04-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-17 | 2022-04-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-03-17 | 2022-04-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-17 | 2022-04-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-17 | 2022-04-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-17 | 2022-04-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-17 | 2022-04-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-03-17 | 2022-04-20 | 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 | 2021-04-09 | 2021-05-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-04-09 | 2021-05-15 | N |
| Post nurse staffing information every day. | Health | 2021-04-09 | 2021-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-09 | 2021-05-15 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-04-09 | 2021-05-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-04-07 | 2021-05-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2021-04-07 | 2021-05-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-04-07 | 2021-05-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-07 | 2021-05-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-07 | 2021-05-15 | N |
