A list of the most recent deficiencies for Almond Vista Healthcare. 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 | 2023-11-09 | 2023-11-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-03-17 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-14 | 2023-03-03 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-05-24 | 2022-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-03 | 2022-03-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-28 | 2022-03-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-27 | 2021-08-30 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-04 | 2021-07-28 | 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 | 2021-06-04 | 2021-07-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-06-04 | 2021-07-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-08 | 2021-06-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-17 | 2019-11-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-07-17 | 2019-11-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-17 | 2019-11-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-17 | 2019-11-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-07-17 | 2019-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-17 | 2019-11-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-17 | 2019-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-17 | 2019-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-07-17 | 2019-11-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-07-17 | 2019-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-17 | 2019-11-06 | 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 | 2019-07-17 | 2019-11-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-17 | 2019-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-17 | 2019-11-06 | N |
| Keep all essential equipment working safely. | Health | 2019-07-17 | 2019-11-06 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-08-29 | 2019-09-17 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-04-20 | 2018-07-10 | 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 | 2018-04-20 | 2018-07-10 | 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 | 2018-04-20 | 2018-07-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-04-20 | 2018-07-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-20 | 2018-07-10 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-04-20 | 2018-07-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-04-20 | 2018-07-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-20 | 2018-07-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-20 | 2018-07-10 | 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 | 2018-04-20 | 2018-07-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-20 | 2018-07-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-04-20 | 2018-07-10 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2018-04-20 | 2018-07-10 | N |
| Provide or obtain dental services for each resident. | Health | 2018-04-20 | 2018-07-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-20 | 2018-07-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-22 | 2018-06-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-05 | 2017-06-16 | N |
| Give notice to the resident before a room or roommate change. | Health | 2017-05-05 | 2017-06-16 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-05 | 2017-06-16 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-05-05 | 2017-06-16 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-05 | 2017-06-16 | 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 | 2017-05-11 | 2017-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-11 | 2017-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-11 | 2017-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-11 | 2017-06-14 | N |
