Deficiency Records for Laguna Rainbow Nursing Center
Updated as of November 01, 2019
This is not the most recent data for Laguna Rainbow Nursing Center. For the most recent information, click here.
A list of the most recent deficiencies for Laguna Rainbow Nursing 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2019-07-24 | 2019-09-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-24 | 2019-09-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-24 | 2019-09-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-07-24 | 2019-09-03 | N |
| Be properly staffed | Fire Safety | 2019-07-24 | 2019-09-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-24 | 2019-09-03 | N |
| Respond appropriately to all alleged violations. | Health | 2019-07-26 | 2019-09-03 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-07-26 | 2019-09-03 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-26 | 2019-08-22 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-26 | 2019-08-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-06-18 | 2018-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-18 | 2018-09-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-06-18 | 2018-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-06-18 | 2018-09-25 | 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 | 2018-06-18 | 2018-09-25 | 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 | 2018-06-18 | 2018-09-25 | 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 | 2018-06-18 | 2018-09-25 | N |
| 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 schedul | Health | 2018-06-18 | 2018-09-25 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-06-18 | 2018-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-18 | 2018-09-25 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-06-12 | 2018-07-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-06-12 | 2018-07-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-06-12 | 2018-07-18 | 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 | 2018-06-12 | 2018-07-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-12 | 2018-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-06-12 | 2018-07-18 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-06-12 | 2018-07-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-09 | 2017-08-15 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2017-05-16 | 2017-07-20 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2017-05-16 | 2017-07-20 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-16 | 2017-07-20 | Y |
| 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 | 2017-05-16 | 2017-07-20 | Y |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2017-05-16 | 2017-07-20 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-05-16 | 2017-07-20 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2017-05-09 | 2017-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-09 | 2017-05-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-09 | 2017-05-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-09 | 2017-05-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-05-09 | 2017-05-14 | N |
