A list of the most recent deficiencies for La Palma Nursing 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-10 | 2023-10-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-21 | 2023-06-29 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-12 | 2023-02-16 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Use approved construction type or materials. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-17 | 2021-09-07 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-08-04 | 2021-09-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-08-04 | 2021-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-04 | 2021-09-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-04 | 2021-09-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-04 | 2021-09-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-04 | 2021-09-03 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-08-04 | 2021-09-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-04 | 2021-09-03 | 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 | 2021-08-04 | 2021-09-03 | 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 | 2021-08-04 | 2021-09-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-04 | 2021-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-04 | 2021-09-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-04 | 2021-09-03 | 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 | 2021-04-29 | 2021-05-29 | Y |
| Report COVID19 data to residents and families. | Health | 2021-04-21 | 2021-05-21 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-11-20 | 2019-12-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-20 | 2019-12-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-20 | 2019-12-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-20 | 2019-12-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-20 | 2019-12-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-11-20 | 2019-12-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-20 | 2019-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-21 | 2019-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-21 | 2019-11-20 | N |
| Dispose of garbage and refuse properly. | Health | 2019-10-21 | 2019-11-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-10-21 | 2019-11-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Develop a communication plan. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-17 | 2019-02-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-21 | 2018-12-21 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-11-21 | 2018-12-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-21 | 2018-12-21 | N |
| Provide activities to meet all resident's needs. | Health | 2018-11-21 | 2018-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-21 | 2018-12-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-21 | 2018-12-21 | N |
