A list of the most recent deficiencies for Casa Promesa. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-15 | 2023-11-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-24 | 2023-10-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-24 | 2023-10-13 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-05-13 | 2022-08-03 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-05-13 | 2022-08-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-13 | 2022-07-11 | 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 | 2022-05-13 | 2022-07-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-13 | 2022-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-13 | 2022-07-11 | 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 | 2022-05-13 | 2022-07-11 | Y |
| Post nurse staffing information every day. | Health | 2022-05-13 | 2022-07-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-13 | 2022-07-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-13 | 2022-07-11 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-05-13 | 2022-07-11 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-05-13 | 2022-07-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-05-13 | 2022-07-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-05-13 | 2022-07-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-13 | 2022-07-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-13 | 2022-07-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-02 | 2022-07-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-26 | 2020-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-26 | 2020-01-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-26 | 2020-01-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-26 | 2020-01-24 | 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 | 2019-11-26 | 2020-01-24 | N |
| Have policies on smoking. | Health | 2019-11-26 | 2020-01-24 | 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 | 2019-11-26 | 2019-12-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-26 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-26 | 2019-12-23 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-11-26 | 2019-12-23 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-26 | 2019-12-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-03-23 | 2018-04-06 | N |
