Deficiency Records for St Monica Center For Rehabilitation and Healthcare
Updated as of August 01, 2020
This is not the most recent data for St Monica Center For Rehabilitation and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for St Monica Center For Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-01-28 | 2020-03-17 | N |
| Respond appropriately to all alleged violations. | Health | 2020-01-28 | 2020-03-17 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-28 | 2020-03-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-03-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-28 | 2020-03-17 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-01-28 | 2020-03-17 | 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 | 2020-01-28 | 2020-03-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-01-28 | 2020-03-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2020-01-27 | 2020-03-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-27 | 2019-08-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-27 | 2019-08-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-27 | 2019-08-02 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-25 | 2019-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-08 | 2019-05-06 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-08 | 2019-05-06 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-12-18 | 2019-02-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-18 | 2019-02-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-18 | 2019-02-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-12-18 | 2019-02-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-18 | 2019-02-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-18 | 2019-02-06 | 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 | 2018-12-13 | 2019-02-06 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2018-12-13 | 2019-02-06 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-13 | 2019-02-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-12-13 | 2019-02-06 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2018-12-13 | 2019-02-06 | N |
| Provide or obtain dental services for each resident. | Health | 2018-12-13 | 2019-02-06 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-12-13 | 2019-02-06 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-12-13 | 2019-02-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-13 | 2019-02-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-04-06 | 2018-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-06 | 2018-04-25 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-05 | 2018-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-26 | 2018-03-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-26 | 2018-03-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-01-26 | 2018-03-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-01-26 | 2018-03-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-01-26 | 2018-03-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-01-26 | 2018-03-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-01-24 | 2018-03-14 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2017-08-30 | 2017-10-16 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-30 | 2017-10-16 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-08-30 | 2017-10-16 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2017-08-30 | 2017-10-16 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-08-30 | 2017-10-16 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-30 | 2017-10-16 | Y |
