Deficiency Records for Linda Vista Nursing and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Linda Vista Nursing and Rehab 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-22 | 2024-02-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-22 | 2024-02-15 | 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 | 2024-01-22 | 2024-02-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-22 | 2024-02-15 | 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 | 2024-01-22 | 2024-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-22 | 2024-02-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-22 | 2024-02-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-22 | 2024-02-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-22 | 2024-02-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-01-22 | 2024-02-15 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2024-01-22 | 2024-02-15 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-01-22 | 2024-02-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-22 | 2024-02-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-22 | 2024-02-15 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-01-22 | 2024-02-15 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-22 | 2024-02-15 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-23 | 2024-02-09 | N |
| 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 | 2022-10-07 | 2022-11-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-07 | 2022-11-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-10-07 | 2022-11-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-07 | 2022-11-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-07 | 2022-11-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-07 | 2022-11-08 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-10-07 | 2022-11-08 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-10-07 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-07 | 2022-11-08 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2022-10-05 | 2022-11-08 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-10-05 | 2022-11-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-10-05 | 2022-11-08 | 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 | 2022-03-21 | 2022-04-29 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-21 | 2022-04-29 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-03-21 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-21 | 2022-04-29 | Y |
| 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 | 2022-03-21 | 2022-04-29 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-02-27 | 2021-04-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-02-27 | 2021-04-07 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2020-02-27 | 2021-04-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-27 | 2021-04-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-27 | 2021-04-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-27 | 2021-04-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide activities to meet all resident's needs. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2021-04-07 | 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 | 2020-02-27 | 2021-04-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-27 | 2021-04-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-27 | 2021-04-07 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-27 | 2021-04-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-02-27 | 2021-04-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-27 | 2021-04-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-02-27 | 2021-04-07 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-04 | 2021-04-07 | N |
