A list of the most recent deficiencies for Del Mar Convalescent Hospital. 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-15 | 2023-12-15 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-15 | 2023-12-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-15 | 2023-12-15 | 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 | 2023-11-15 | 2023-12-15 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-15 | 2023-12-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-15 | 2023-12-15 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-11-15 | 2023-12-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-15 | 2023-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-12 | 2023-12-12 | 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 | 2023-11-12 | 2023-12-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-12 | 2023-12-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-12 | 2023-12-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-11-12 | 2023-12-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-12 | 2023-12-12 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-11-12 | 2023-12-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-12 | 2023-12-12 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2023-11-12 | 2023-12-12 | N |
| 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 | 2023-06-26 | 2023-07-11 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-02-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-02 | 2022-11-02 | Y |
| Construct fire resistant interior walls. | Fire Safety | 2021-11-12 | 2022-01-04 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-11-12 | 2022-01-04 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-11-12 | 2022-01-04 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-11-12 | 2022-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-12 | 2022-01-04 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-15 | 2021-12-13 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-11-15 | 2021-12-13 | N |
| Post nurse staffing information every day. | Health | 2021-11-15 | 2021-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-15 | 2021-12-13 | 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 | 2021-11-15 | 2021-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-15 | 2021-12-13 | N |
| Keep all essential equipment working safely. | Health | 2021-11-15 | 2021-12-13 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2021-11-15 | 2021-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-15 | 2021-12-13 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-07-15 | 2019-08-07 | 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 | 2019-07-15 | 2019-08-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-15 | 2019-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-14 | 2019-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-14 | 2019-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-14 | 2019-08-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-07-14 | 2019-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-14 | 2019-08-06 | 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 | 2019-07-14 | 2019-08-06 | 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 | 2019-07-14 | 2019-08-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-14 | 2019-08-06 | N |
| Keep all essential equipment working safely. | Health | 2019-07-14 | 2019-08-06 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-07-14 | 2019-08-06 | N |
