Deficiency Records for West Gardena Post Acute
Updated as of November 01, 2021
This is not the most recent data for West Gardena Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for West Gardena Post Acute. 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 and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-10-18 | N |
Respond appropriately to all alleged violations. | Health | 2021-06-29 | 2021-07-13 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-29 | 2021-07-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-29 | 2021-07-13 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-29 | 2021-07-13 | Y |
Keep all essential equipment working safely. | Health | 2021-06-29 | 2021-07-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-28 | 2021-01-11 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-12-16 | 2020-12-29 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2020-05-19 | 2020-05-28 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-05-01 | 2020-05-14 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-04-22 | 2020-05-06 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-04-22 | 2020-05-06 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2020-04-22 | 2020-05-06 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-10 | 2020-02-20 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-10-08 | 2019-11-04 | 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 | 2019-10-08 | 2019-11-04 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-08 | 2019-11-04 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-08 | 2019-11-04 | 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 | 2019-10-08 | 2019-11-04 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-08 | 2019-11-04 | 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 | 2019-10-08 | 2019-11-04 | 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 | 2019-10-08 | 2019-11-04 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-08 | 2019-11-04 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-10-08 | 2019-11-04 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-10-08 | 2019-11-04 | N |
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-10-08 | 2019-11-04 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-08 | 2019-11-04 | N |
Provide and implement an infection prevention and control program. | Health | 2019-10-08 | 2019-11-04 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-10-08 | 2019-11-04 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-10-08 | 2019-11-04 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-10-08 | 2019-11-04 | Y |
Establish staff and initial training requirements. | Fire Safety | 2019-10-03 | 2019-10-29 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-10-03 | 2019-10-29 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2019-10-03 | 2019-10-29 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-10-03 | 2019-10-29 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-03 | 2019-10-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-03 | 2019-10-29 | 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 | 2019-05-22 | 2019-05-31 | Y |
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2019-05-22 | 2019-05-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-15 | 2019-03-27 | Y |
Ensure each resident receives an accurate assessment. | Health | 2018-10-06 | 2018-11-02 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-06 | 2018-11-02 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-06 | 2018-11-02 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2018-10-06 | 2018-11-02 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-10-06 | 2018-11-02 | 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 | 2018-10-06 | 2018-11-02 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-06 | 2018-11-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-06 | 2018-11-02 | N |
Provide and implement an infection prevention and control program. | Health | 2018-10-06 | 2018-11-02 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-10-06 | 2018-11-02 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-10-06 | 2018-11-02 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-11-09 | 2017-12-08 | N |
Provide activities to meet the interests and needs of each resident. | Health | 2017-11-09 | 2017-12-08 | N |
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-11-09 | 2017-12-08 | N |
Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-11-09 | 2017-12-08 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-11-09 | 2017-12-08 | N |
Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2017-11-09 | 2017-12-08 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-11-09 | 2017-12-08 | N |
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-11-09 | 2017-12-08 | N |