Deficiency Records for Laguna Rainbow Nursing Center
Updated as of February 01, 2022
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? |
|---|---|---|---|---|
| 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 | 2021-03-17 | 2021-04-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-03-17 | 2021-04-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-17 | 2021-04-30 | 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 | 2021-03-17 | 2021-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-17 | 2021-04-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-17 | 2021-04-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-17 | 2021-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-03-17 | 2021-04-30 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-03-16 | 2021-04-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-03-16 | 2021-04-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-16 | 2021-04-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-16 | 2021-04-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-16 | 2021-04-30 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-16 | 2021-04-30 | 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 |
| 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 |
| 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 scheduled meal times. | 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 |
