Deficiency Records for Desert Springs Healthcare and Wellness Centre
Updated as of April 01, 2024
A list of the most recent deficiencies for Desert Springs Healthcare and Wellness Centre. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-19 | 2023-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-07 | 2023-12-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-25 | 2023-11-13 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-25 | 2023-11-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-18 | 2023-09-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-13 | 2023-09-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-13 | 2023-07-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-19 | 2023-06-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-11 | 2023-01-26 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-12-12 | 2023-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-12 | 2023-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-12 | 2023-01-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-12-12 | 2023-01-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-12 | 2023-01-11 | 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 | 2022-12-12 | 2023-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-12 | 2023-01-11 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-12 | 2023-01-11 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-12-12 | 2023-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-12 | 2023-01-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-22 | 2023-01-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-17 | 2022-12-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-04-28 | 2022-06-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-28 | 2022-06-07 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-16 | 2022-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-16 | 2022-04-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-03-16 | 2022-04-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-16 | 2022-04-05 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-07-02 | 2021-07-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-02 | 2021-07-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-02 | 2021-07-19 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2021-06-02 | 2021-07-19 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-15 | 2020-03-04 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-09 | 2020-02-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-01-09 | 2020-02-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-09 | 2020-02-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-09 | 2020-02-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-09 | 2020-02-07 | 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 | 2020-01-09 | 2020-02-07 | N |
| Provide or obtain dental services for each resident. | Health | 2020-01-09 | 2020-02-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Establish methods for sharing information. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-04-04 | 2019-04-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-17 | 2019-02-13 | 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 | 2019-01-17 | 2019-02-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-17 | 2019-02-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-17 | 2019-02-13 | 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 | 2019-01-17 | 2019-02-13 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-01-17 | 2019-02-13 | N |
