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Deficiency Records for Memorial Hospital of Gardena D/p Snf

View the most recent health deficiencies and inspection results for Memorial Hospital of Gardena D/p Snf. Stay informed about quality of care issues.

View the most recent health deficiencies and inspection results for Memorial Hospital of Gardena D/p Snf. Stay informed about quality of care issues.

Deficiency Type of Deficiency Deficiency Date Date Corrected Resulted from a Complaint?
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2026-04-10 2026-04-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2026-04-10 2026-04-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2026-04-10 2026-04-30 N
Implement emergency and standby power systems. Fire Safety 2026-04-10 2026-04-30 N
Provide and implement an infection prevention and control program. Health 2026-04-10 2026-04-28 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. Health 2026-04-10 2026-04-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2026-04-10 2026-04-28 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 2026-04-10 2026-04-28 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2026-04-10 2026-04-28 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2026-04-10 2026-04-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2026-04-10 2026-04-28 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2026-04-10 2026-04-28 N
Ensure each resident receives an accurate assessment. Health 2026-04-10 2026-04-28 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2025-02-16 2025-03-18 N
Install corridor and hallway doors that block smoke. Fire Safety 2025-02-16 2025-03-18 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2025-02-16 2025-03-18 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 2025-02-16 2025-03-18 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2025-02-16 2025-03-06 N
Provide and implement an infection prevention and control program. Health 2025-02-16 2025-03-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2025-02-16 2025-03-06 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2025-02-16 2025-03-06 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2025-02-16 2025-03-06 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2025-02-16 2025-03-06 N
Ensure each resident receives an accurate assessment. Health 2025-02-16 2025-03-06 N
Have restrictions on the use of flammable curtains. Fire Safety 2024-02-09 2024-03-13 N
Provide emergency officials' contact information. Fire Safety 2024-02-09 2024-03-13 N
Construct fire resistant interior walls. Fire Safety 2024-02-09 2024-03-13 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-02-09 2024-03-13 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-09 2024-03-13 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-09 2024-03-13 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-02-09 2024-03-13 N
List the names and contact information of those in the facility. Fire Safety 2024-02-09 2024-03-13 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2024-02-09 2024-03-09 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-09 2024-03-09 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-09 2024-03-09 N
Provide routine and 24-hour emergency dental care for each resident. Health 2024-02-09 2024-03-09 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 2024-02-09 2024-03-09 N
Ensure that residents are free from significant medication errors. Health 2024-02-09 2024-03-09 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-09 2024-03-09 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 2024-02-09 2024-03-09 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-09 2024-03-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-09 2024-03-09 N
Provide activities to meet all resident's needs. Health 2024-02-09 2024-03-09 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 2024-02-09 2024-03-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-09 2024-03-09 N
Ensure each resident receives an accurate assessment. Health 2024-02-09 2024-03-09 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-02-09 2024-03-09 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-09 2024-03-09 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-07-07 2023-08-01 Y

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