A list of the most recent deficiencies for El Rancho Vista 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-11 | 2022-01-06 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-08 | 2022-01-04 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-08 | 2022-01-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-12-08 | 2022-01-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-08 | 2022-01-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-08 | 2022-01-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-08 | 2022-01-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-08 | 2022-01-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-06 | 2022-01-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-06 | 2022-01-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-06 | 2022-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-06 | 2022-01-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-06 | 2022-01-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-06 | 2022-01-03 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-12-06 | 2022-01-03 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-12-06 | 2022-01-03 | 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 | 2021-12-06 | 2022-01-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-06 | 2022-01-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-06 | 2022-01-03 | 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 | 2021-12-06 | 2022-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-06 | 2022-01-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-06 | 2022-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-06 | 2022-01-03 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-04-11 | 2019-05-17 | 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 | 2019-04-11 | 2019-05-17 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-04-11 | 2019-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-11 | 2019-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-11 | 2019-05-17 | 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 | 2019-04-11 | 2019-05-17 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-04-11 | 2019-05-17 | 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 | 2019-04-11 | 2019-05-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-11 | 2019-05-17 | 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 | 2019-04-11 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-11 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-11 | 2019-05-17 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-10 | 2019-04-29 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Construct fire resistant interior walls. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2018-04-20 | 2018-06-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-04-14 | 2018-05-08 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2018-04-14 | 2018-05-08 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-04-14 | 2018-05-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-14 | 2018-05-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-14 | 2018-05-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-04-14 | 2018-05-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-04-14 | 2018-05-08 | 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 | 2018-04-14 | 2018-05-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-04-14 | 2018-05-08 | 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 | 2018-04-14 | 2018-05-08 | N |
| Provide or obtain dental services for each resident. | Health | 2018-04-14 | 2018-05-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-14 | 2018-05-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-14 | 2018-05-08 | N |
