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Deficiency Records for Carmel Mountain Rehabilitation and Healthcare Center
View the most recent health deficiencies and inspection results for Carmel Mountain Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Carmel Mountain Rehabilitation and Healthcare Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-01-22 | 2026-02-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-09-16 | 2025-10-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-16 | 2025-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-04 | 2025-10-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-04 | 2025-09-22 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-09-04 | 2025-09-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-24 | 2025-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-24 | 2025-05-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-04-24 | 2025-05-24 | 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 | 2025-04-24 | 2025-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-24 | 2025-05-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-04-24 | 2025-05-24 | 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 | 2025-04-24 | 2025-05-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-04-24 | 2025-05-24 | 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 | 2025-04-24 | 2025-05-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-04-24 | 2025-05-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-04-24 | 2025-05-24 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-04-24 | 2025-05-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-24 | 2025-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-24 | 2025-05-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-05-24 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-04-24 | 2025-05-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-04-24 | 2025-05-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-12-26 | 2025-02-03 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-15 | 2024-11-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-15 | 2024-11-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-13 | 2024-10-15 | Y |
| 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 | 2024-09-13 | 2024-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-30 | 2024-08-22 | 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 | 2024-05-10 | 2024-06-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-10 | 2024-06-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-10 | 2024-06-21 | 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 | 2024-05-10 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-10 | 2024-06-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-10 | 2024-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-10 | 2024-06-21 | 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 | 2024-05-10 | 2024-06-21 | 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 | 2024-05-10 | 2024-06-21 | 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 | 2024-05-10 | 2024-06-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-10 | 2024-06-21 | 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 | 2024-05-10 | 2024-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-10 | 2024-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-10 | 2024-06-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-10 | 2024-06-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-10 | 2024-06-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-10 | 2024-06-21 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-05-10 | 2024-05-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-10 | 2024-05-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-10 | 2024-05-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-10 | 2024-05-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-10 | 2024-05-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-10 | 2024-05-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-28 | 2023-08-28 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-07-28 | 2023-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-28 | 2023-08-28 | 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 | 2023-07-28 | 2023-08-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-28 | 2023-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-28 | 2023-08-28 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-28 | 2023-08-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-07-28 | 2023-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-28 | 2023-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-28 | 2023-08-03 | 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 | 2026-04-15 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-04-15 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-04-15 | Not Fixed | Y |