Deficiency Records for Downey Community Health Center
Updated as of October 01, 2021
This is not the most recent data for Downey Community Health Center. For the most recent information, click here.
A list of the most recent deficiencies for Downey Community Health 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-06-28 | 2021-07-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-09 | 2020-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-06-24 | 2020-09-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-07-14 | 2020-07-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-07-14 | 2020-07-24 | Y |
| 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 | 2020-07-14 | 2020-07-24 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-07-14 | 2020-07-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-14 | 2020-07-24 | Y |
| 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 | 2020-01-10 | 2020-02-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-10 | 2020-02-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-10 | 2020-02-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-01-10 | 2020-02-06 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-01-10 | 2020-02-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-10 | 2020-02-06 | 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 | 2020-01-10 | 2020-02-06 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-01-10 | 2020-02-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-10 | 2020-02-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-10 | 2020-02-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-10 | 2020-02-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-07 | 2020-02-03 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-01-07 | 2020-02-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-01-07 | 2020-02-03 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-01-07 | 2020-02-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-01-07 | 2020-02-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-20 | 2019-12-16 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-22 | 2019-01-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-22 | 2019-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-22 | 2019-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-22 | 2019-01-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-22 | 2019-01-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-28 | 2019-01-25 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-12-28 | 2019-01-25 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-12-28 | 2019-01-25 | 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 | 2018-12-28 | 2019-01-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-28 | 2019-01-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-28 | 2019-01-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-28 | 2019-01-25 | 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 | 2018-12-28 | 2019-01-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-28 | 2019-01-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-28 | 2019-01-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-28 | 2019-01-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-28 | 2019-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-28 | 2019-01-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-28 | 2019-01-25 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2018-12-28 | 2019-01-25 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-12-28 | 2019-01-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-28 | 2019-01-25 | 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 | 2018-12-28 | 2019-01-25 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-12-28 | 2019-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-28 | 2019-01-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-10-24 | 2018-12-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-24 | 2018-12-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-01-17 | 2018-02-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-08 | 2018-02-09 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2018-01-08 | 2018-02-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-01-08 | 2018-02-09 | 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 | 2018-01-08 | 2018-02-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-08 | 2018-02-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-01-08 | 2018-02-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-01-08 | 2018-02-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-01-08 | 2018-02-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-08 | 2018-02-09 | 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 | 2018-01-08 | 2018-02-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-08 | 2018-02-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-08 | 2018-02-09 | 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 | 2018-01-08 | 2018-02-09 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-01-08 | 2018-02-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-08 | 2018-02-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-01-08 | 2018-02-09 | 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 | 2018-01-08 | 2018-02-09 | 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 | 2018-01-08 | 2018-02-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-08 | 2018-02-09 | N |
| Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. | Health | 2018-01-08 | 2018-02-09 | N |
