Deficiency Records for Carmel Mountain Rehabilitation and Healthcare Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Carmel Mountain Rehabilitation and Healthcare 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-07-28 | 2023-08-28 | 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 |
| Use approved construction type or materials. | Fire Safety | 2023-08-01 | 2023-08-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-01 | 2023-08-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-01 | 2023-08-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-10 | 2023-03-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-09 | 2021-10-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-09 | 2021-10-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-09 | 2021-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-30 | 2021-05-25 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-30 | 2019-06-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-30 | 2019-06-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-30 | 2019-06-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-21 | 2019-04-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-21 | 2019-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-04-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-31 | 2018-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-31 | 2018-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-04-06 | 2018-06-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-04-06 | 2018-06-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-06 | 2018-06-05 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-06 | 2018-06-05 | N |
