CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Antelope Valley Care Center
View the most recent health deficiencies and inspection results for Antelope Valley Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Antelope Valley Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide enough food/fluids to maintain a resident's health. | Health | 2026-04-15 | 2026-05-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2026-04-15 | 2026-05-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-04-02 | 2026-04-20 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2026-04-02 | 2026-04-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-04-02 | 2026-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-23 | 2026-04-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-03-13 | 2026-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-03-13 | 2026-03-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-03-13 | 2026-03-25 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-02-02 | 2026-02-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-22 | 2026-02-02 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2026-01-22 | 2026-02-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-12-16 | 2026-01-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-12-16 | 2026-01-13 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-24 | 2025-12-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-24 | 2025-12-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-09-17 | 2025-10-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-29 | 2025-09-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-08-29 | 2025-09-25 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2025-08-29 | 2025-09-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-29 | 2025-09-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-08-29 | 2025-09-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-29 | 2025-09-25 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-08-29 | 2025-09-25 | 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 | 2025-08-29 | 2025-09-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-29 | 2025-09-25 | 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 | 2025-08-29 | 2025-09-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-29 | 2025-09-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-29 | 2025-09-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-08-29 | 2025-09-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-29 | 2025-09-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-29 | 2025-09-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-29 | 2025-09-25 | 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 | 2025-08-29 | 2025-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-29 | 2025-09-25 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-08-29 | 2025-09-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-29 | 2025-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-29 | 2025-09-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-08-29 | 2025-09-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-08-29 | 2025-09-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-29 | 2025-09-25 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2025-08-29 | 2025-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-29 | 2025-09-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-08-29 | 2025-09-25 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-29 | 2025-09-25 | 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 | 2025-08-29 | 2025-09-25 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-08-29 | 2025-09-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-29 | 2025-09-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-29 | 2025-09-25 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-08-29 | 2025-09-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-29 | 2025-09-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-29 | 2025-09-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-08-29 | 2025-09-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-29 | 2025-09-25 | 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 | 2025-08-29 | 2025-09-25 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-29 | 2025-09-25 | 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 | 2025-08-29 | 2025-09-25 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-29 | 2025-09-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-08-29 | 2025-09-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-05 | 2025-08-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-07-15 | 2025-08-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-07-15 | 2025-08-13 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-06-18 | 2025-07-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-28 | 2025-06-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-28 | 2025-06-12 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-04-22 | 2025-05-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-04-22 | 2025-05-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-04-01 | 2025-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-03-27 | 2025-04-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-03-20 | 2025-04-12 | Y |
| 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 | 2025-03-20 | 2025-04-12 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-03-13 | 2025-04-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-01-14 | 2025-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-14 | 2025-02-07 | Y |
| 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 | 2025-01-14 | 2025-02-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-03 | 2024-12-18 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-22 | 2024-11-14 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-22 | 2024-11-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-22 | 2024-11-14 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-10-22 | 2024-11-14 | Y |
| 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 | 2024-10-28 | 2024-11-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-27 | 2024-10-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-27 | 2024-10-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-09-17 | 2024-09-27 | N |
| Post nurse staffing information every day. | Health | 2024-09-17 | 2024-09-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-17 | 2024-09-27 | 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 | 2024-09-17 | 2024-09-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-17 | 2024-09-27 | 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 | 2024-09-17 | 2024-09-27 | 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 | 2024-09-17 | 2024-09-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-09-17 | 2024-09-27 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-09-17 | 2024-09-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-17 | 2024-09-27 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-17 | 2024-09-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-17 | 2024-09-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-09-17 | 2024-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-17 | 2024-09-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-17 | 2024-09-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-09-17 | 2024-09-27 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-09-17 | 2024-09-27 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-17 | 2024-09-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-17 | 2024-09-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-09-17 | 2024-09-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-17 | 2024-09-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-17 | 2024-09-27 | Y |
| Keep all essential equipment working safely. | Health | 2024-09-17 | 2024-09-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-17 | 2024-09-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-17 | 2024-09-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-17 | 2024-09-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-17 | 2024-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-17 | 2024-09-27 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-17 | 2024-09-27 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-09-17 | 2024-09-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-09-17 | 2024-09-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-17 | 2024-09-27 | 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 | 2024-09-17 | 2024-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-17 | 2024-09-27 | 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 | 2024-09-17 | 2024-09-27 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-09-04 | 2024-09-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-04 | 2024-09-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-04 | 2024-09-12 | Y |
| 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 | 2024-08-29 | 2024-09-12 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-08-29 | 2024-09-12 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-29 | 2024-09-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-29 | 2024-09-12 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-08-29 | 2024-09-12 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-20 | 2024-09-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-14 | 2024-09-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-08-20 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-09 | 2024-07-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-09 | 2024-07-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-09 | 2024-07-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-09 | 2024-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-28 | 2024-07-23 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-06-28 | 2024-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-28 | 2024-07-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-28 | 2024-07-23 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-06 | 2024-06-20 | 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 | 2024-06-06 | 2024-06-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-30 | 2024-06-14 | Y |
| 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 | 2024-04-05 | 2024-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-05 | 2024-04-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-02-16 | 2024-03-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-07 | 2024-03-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-07 | 2024-03-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-30 | 2023-11-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-30 | 2023-11-18 | Y |
| 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 | 2023-10-30 | 2023-11-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-10 | 2023-10-25 | Y |
| 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 | 2023-09-21 | 2023-10-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-21 | 2023-10-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-21 | 2023-10-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-21 | 2023-10-13 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-07 | 2023-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-09-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-06 | 2023-09-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-06 | 2023-09-25 | 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 | 2023-09-06 | 2023-09-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-30 | 2023-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-01 | 2023-08-28 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-01 | 2023-08-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-01 | 2023-08-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-25 | 2023-08-24 | Y |
| 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 | 2023-07-25 | 2023-08-24 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-07-25 | 2023-08-24 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-15 | 2023-07-11 | Y |
| Post nurse staffing information every day. | Health | 2023-06-15 | 2023-07-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-06-15 | 2023-07-11 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-11 | 2022-04-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-11 | 2022-04-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-11 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-11 | 2022-04-04 | 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 | 2022-03-11 | 2022-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-04-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-03-11 | 2022-04-04 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-03-11 | 2022-04-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-11 | 2022-04-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-11 | 2022-04-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-11 | 2022-04-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-11 | 2022-04-01 | N |