Deficiency Records for Del Mar Convalescent Hospital
Updated as of August 01, 2020
This is not the most recent data for Del Mar Convalescent Hospital. For the most recent information, click here.
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 | 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 |
| Be properly staffed | 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 |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2018-09-17 | 2018-10-02 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2018-07-19 | 2018-08-13 | 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 | 2018-07-19 | 2018-08-13 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-19 | 2018-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-19 | 2018-08-13 | 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 | 2018-07-14 | 2018-08-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-07-14 | 2018-08-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-14 | 2018-08-09 | 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 | 2018-07-14 | 2018-08-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-14 | 2018-08-09 | 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 | 2018-07-14 | 2018-08-09 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-07-14 | 2018-08-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-07-14 | 2018-08-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-14 | 2018-08-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-14 | 2018-08-09 | 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 | 2018-07-14 | 2018-08-09 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-07-14 | 2018-08-09 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-07-14 | 2018-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-15 | 2017-08-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-07-15 | 2017-08-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-07-15 | 2017-08-07 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-15 | 2017-08-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-07-15 | 2017-08-07 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-07-15 | 2017-08-07 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-07-15 | 2017-08-07 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-15 | 2017-08-07 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-07-15 | 2017-08-07 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-07-15 | 2017-08-07 | N |
| Keep all essential equipment working safely. | Health | 2017-07-15 | 2017-08-07 | N |
| Provide bedrooms that hold no more than 4 residents per room. | Health | 2017-07-15 | 2017-08-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-07-15 | 2017-08-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-07-15 | 2017-08-07 | N |
