A list of the most recent deficiencies for Palos Verdes Health Care 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-11 | 2023-11-11 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-08 | 2023-11-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-08 | 2023-10-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-31 | 2023-08-23 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-06 | 2023-07-06 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-06 | 2023-07-06 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-06 | 2023-07-06 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-06 | 2023-07-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-06 | 2023-07-06 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-06-06 | 2023-07-06 | Y |
| 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 | 2023-06-06 | 2023-07-06 | Y |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2023-06-06 | 2023-07-06 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-06-06 | 2023-07-06 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-06-06 | 2023-07-06 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-06-06 | 2023-07-06 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-06-06 | 2023-07-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-08 | 2023-05-30 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-05-03 | 2023-05-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-29 | 2023-04-27 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-29 | 2023-04-27 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-29 | 2023-04-27 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-03-29 | 2023-04-27 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-08 | 2021-08-17 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-06-29 | 2021-07-28 | 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 | 2021-06-29 | 2021-07-28 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-06-29 | 2021-07-28 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-06-29 | 2021-07-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-29 | 2021-07-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-06-29 | 2021-07-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-29 | 2021-07-28 | 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 | 2021-06-29 | 2021-07-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-29 | 2021-07-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-29 | 2021-07-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-29 | 2021-07-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-29 | 2021-07-28 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-06-29 | 2021-07-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-29 | 2021-07-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-29 | 2021-07-28 | 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 | 2021-06-29 | 2021-07-28 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-06-29 | 2021-07-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-06-29 | 2021-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-29 | 2021-07-28 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-06-29 | 2021-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-29 | 2021-07-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-06-29 | 2021-07-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-06-29 | 2021-07-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-21 | 2021-07-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-07 | 2021-06-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-07 | 2021-06-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-03-15 | 2020-08-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-03-15 | 2020-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-15 | 2020-08-28 | N |
| 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 | 2020-03-15 | 2020-08-28 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-03-15 | 2020-08-28 | 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 | 2020-03-15 | 2020-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-15 | 2020-08-28 | 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 | 2020-03-15 | 2020-08-28 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-03-15 | 2020-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-15 | 2020-08-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-03-15 | 2020-08-28 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2020-03-15 | 2020-08-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-03-26 | 2019-05-15 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2019-03-26 | 2019-05-15 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-03-26 | 2019-05-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-03-26 | 2019-05-15 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2019-03-26 | 2019-05-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-26 | 2019-05-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-26 | 2019-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-26 | 2019-05-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-26 | 2019-05-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-03-26 | 2019-05-15 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-03-26 | 2019-05-15 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-03-26 | 2019-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-26 | 2019-05-15 | 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 | 2019-03-26 | 2019-05-15 | 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 | 2019-03-26 | 2019-05-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-03-26 | 2019-05-15 | 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 | 2019-03-26 | 2019-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-26 | 2019-05-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-26 | 2019-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-26 | 2019-05-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-03-26 | 2019-05-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-26 | 2019-05-15 | 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 | 2019-03-25 | 2019-04-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-25 | 2019-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-25 | 2019-04-22 | N |
