Deficiency Records for Memorial Hospital of Gardena D/p Snf
Updated as of April 01, 2024
A list of the most recent deficiencies for Memorial Hospital of Gardena D/p Snf. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-10 | 2023-03-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-10 | 2023-03-31 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-10 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-03-31 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-01-13 | 2020-02-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-01-13 | 2020-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-13 | 2020-02-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-13 | 2020-02-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-13 | 2020-02-14 | 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 | 2020-01-13 | 2020-02-14 | 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 | 2020-01-13 | 2020-02-14 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2020-01-13 | 2020-02-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-01-13 | 2020-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-13 | 2020-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-13 | 2020-02-14 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-01-20 | 2019-02-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-20 | 2019-02-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-20 | 2019-02-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-20 | 2019-02-26 | 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 | 2019-01-20 | 2019-02-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-20 | 2019-02-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-01-20 | 2019-02-26 | 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 | 2019-01-19 | 2019-02-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-19 | 2019-02-20 | N |
