A list of the most recent deficiencies for Manorcare Health Services-Hemet. 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 | 2023-12-27 | 2024-01-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-13 | 2024-01-05 | Y |
| 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 | 2023-10-05 | 2023-11-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-21 | 2023-09-15 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-24 | 2023-06-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-24 | 2023-06-26 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-04-24 | 2023-06-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Use approved construction type or materials. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-27 | 2023-05-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-24 | 2023-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-24 | 2023-05-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide appropriate foot care. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-04-24 | 2023-05-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | 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 | 2023-04-24 | 2023-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-24 | 2023-05-24 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-24 | 2023-05-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-24 | 2023-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-24 | 2023-05-24 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-04-24 | 2023-05-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-12 | 2022-08-12 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-01-12 | 2022-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-13 | 2022-01-31 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-05-13 | 2021-06-07 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-27 | 2020-09-14 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2020-02-27 | 2020-09-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-09-14 | 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 | 2020-02-27 | 2020-09-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-02-27 | 2020-09-14 | 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 | 2020-02-27 | 2020-09-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2020-02-27 | 2020-09-14 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2020-02-27 | 2020-09-14 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2020-02-27 | 2020-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-09-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-04-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-03 | 2019-06-03 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-07 | 2019-05-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-03-07 | 2019-05-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-07 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-07 | 2019-05-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-03-07 | 2019-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-03-07 | 2019-05-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-07 | 2019-05-01 | 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 | 2019-03-07 | 2019-05-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-03-07 | 2019-05-01 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-03-07 | 2019-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-05-01 | N |
