A list of the most recent deficiencies for Casa De Las Campanas. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-24 | 2023-08-08 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-06-08 | 2023-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-08 | 2023-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-07-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-08 | 2023-07-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-08 | 2023-07-08 | 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 | 2023-06-08 | 2023-07-08 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-06-08 | 2023-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-08 | 2023-07-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-13 | 2023-06-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-20 | Y |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-07-05 | 2022-07-06 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-10 | 2020-04-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2020-02-28 | 2020-03-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-02-28 | 2020-03-02 | 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 | 2020-02-28 | 2020-03-02 | 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 | 2020-02-28 | 2020-03-02 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2020-02-28 | 2020-03-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-02-28 | 2020-03-02 | 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 | 2019-03-01 | 2019-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-01 | 2019-04-25 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-03-01 | 2019-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-01 | 2019-04-25 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-03-01 | 2019-04-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-01-25 | 2019-03-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-25 | 2019-03-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-01-25 | 2019-03-05 | 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 | 2019-01-25 | 2019-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-25 | 2019-03-05 | N |
