A list of the most recent deficiencies for Reche Canyon Regional Rehab 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-06 | 2024-01-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-07 | 2023-12-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-07 | 2023-12-26 | 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 | 2023-09-01 | 2023-09-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-01 | 2023-09-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-23 | 2023-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-13 | 2023-06-02 | N |
| 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 | 2023-04-13 | 2023-06-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-13 | 2023-06-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-13 | 2023-06-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-13 | 2023-06-02 | 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 | 2023-04-13 | 2023-06-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-06-02 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-13 | 2023-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-13 | 2023-06-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-17 | 2023-05-08 | 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 | 2023-04-17 | 2023-05-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-17 | 2023-05-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-08 | 2023-03-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-01 | 2023-03-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-21 | 2023-03-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-26 | 2023-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-16 | 2022-12-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-13 | 2022-10-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-10-10 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-17 | 2022-08-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-18 | 2022-08-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-13 | 2022-07-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-21 | 2022-07-09 | 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 | 2021-12-27 | 2022-01-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-16 | 2021-08-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-25 | 2021-07-14 | Y |
| 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 | 2021-06-25 | 2021-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-25 | 2021-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-23 | 2021-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-08 | 2021-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-12 | 2021-06-29 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-19 | 2021-05-05 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-03-15 | 2021-03-30 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2019-11-20 | 2019-12-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-01 | 2019-11-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-01 | 2019-11-27 | 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 | 2019-11-01 | 2019-11-27 | 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 | 2019-11-01 | 2019-11-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-01 | 2019-11-27 | 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 | 2018-11-20 | 2019-02-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-20 | 2019-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-20 | 2019-02-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-01-15 | 2019-02-04 | N |
