Deficiency Records for Spanish Trails Rehabilitation Suites
Updated as of January 01, 2019
This is not the most recent data for Spanish Trails Rehabilitation Suites. For the most recent information, click here.
A list of the most recent deficiencies for Spanish Trails Rehabilitation Suites. 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? |
|---|---|---|---|---|
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-02 | 2018-11-20 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-10-02 | 2018-11-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-10-02 | 2018-11-01 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2018-10-02 | 2018-11-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-10-03 | 2018-11-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-03 | 2018-11-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-03 | 2018-11-01 | 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 | 2018-10-03 | 2018-11-01 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-10-03 | 2018-11-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-10-03 | 2018-11-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-03 | 2018-11-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-03 | 2018-11-01 | 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 | 2018-10-03 | 2018-11-01 | 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 | 2018-10-03 | 2018-11-01 | 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 | 2018-10-03 | 2018-11-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-03 | 2018-11-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-03 | 2018-11-01 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-10-03 | 2018-11-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-03 | 2018-11-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-03 | 2018-11-01 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-10-03 | 2018-11-01 | N |
