A list of the most recent deficiencies for Villa Rancho Bernardo 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2023-12-07 | 2024-01-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-07 | 2024-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-04 | 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 | 2023-12-07 | 2024-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-07 | 2024-01-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-07 | 2024-01-04 | 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 | 2023-12-07 | 2024-01-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-07 | 2024-01-04 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-07 | 2024-01-04 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-07 | 2024-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-04 | N |
| Keep all essential equipment working safely. | Health | 2023-12-07 | 2024-01-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-12-12 | 2023-12-24 | 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 | 2023-12-12 | 2023-12-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-12 | 2023-12-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-12 | 2023-12-24 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-12 | 2023-12-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-12 | 2023-12-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-12 | 2023-12-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-12 | 2023-12-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-07 | 2023-12-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-11 | 2023-08-22 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-05-12 | 2023-05-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-12 | 2023-05-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-21 | 2023-05-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-22 | 2022-05-15 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-01-18 | 2022-02-16 | Y |
| 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 | 2021-11-18 | 2021-12-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-18 | 2021-12-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-18 | 2021-12-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-18 | 2021-12-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-18 | 2021-12-18 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-18 | 2021-12-18 | 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 | 2021-11-18 | 2021-12-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-18 | 2021-12-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-11-18 | 2021-12-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-11-18 | 2021-12-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-18 | 2021-12-18 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Use approved construction type or materials. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-22 | 2021-12-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-02 | 2021-04-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-16 | 2021-04-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-09 | 2021-03-22 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-12 | 2019-11-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-12 | 2019-11-07 | 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 | 2019-09-12 | 2019-11-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-12 | 2019-11-07 | N |
| Provide activities to meet all resident's needs. | Health | 2019-09-12 | 2019-11-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-12 | 2019-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-12 | 2019-11-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-12 | 2019-11-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-09-12 | 2019-11-07 | 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 | 2019-09-12 | 2019-11-07 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2019-09-12 | 2019-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-12 | 2019-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-12 | 2019-11-07 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-10-21 | 2019-11-04 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-10-21 | 2019-11-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-10-21 | 2019-11-04 | N |
| Use approved construction type or materials. | Fire Safety | 2019-10-21 | 2019-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-21 | 2019-11-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-21 | 2019-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-10-21 | 2019-11-04 | N |
