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Deficiency Records for West Covina Medical Center D/p Snf
View the most recent health deficiencies and inspection results for West Covina Medical Center D/p Snf. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for West Covina Medical Center D/p Snf. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-12-23 | 2026-01-15 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-12-18 | 2026-01-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-12-18 | 2026-01-08 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2025-12-18 | 2026-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-12-18 | 2025-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-12-18 | 2025-12-19 | 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 | 2025-12-18 | 2025-12-19 | 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 | 2025-12-18 | 2025-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-12-18 | 2025-12-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-12-18 | 2025-12-19 | 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 | 2025-12-18 | 2025-12-19 | 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 | 2025-12-18 | 2025-12-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-12-18 | 2025-12-19 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-12-18 | 2025-12-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-12-18 | 2025-12-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-18 | 2024-11-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-10-18 | 2024-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-18 | 2024-11-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-18 | 2024-11-07 | 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 | 2024-10-18 | 2024-11-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-18 | 2024-11-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-10-18 | 2024-11-07 | 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 | 2024-10-18 | 2024-11-07 | 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 | 2024-10-18 | 2024-11-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-18 | 2024-11-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-18 | 2024-11-07 | 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 | 2024-10-18 | 2024-11-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-18 | 2024-11-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-18 | 2024-11-07 | N |
| Keep all essential equipment working safely. | Health | 2023-11-22 | 2023-12-16 | 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 | 2023-11-22 | 2023-12-16 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-11-22 | 2023-12-16 | 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 | 2023-11-22 | 2023-12-16 | 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 | 2023-11-22 | 2023-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-22 | 2023-12-16 | 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 | 2023-11-22 | 2023-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-22 | 2023-12-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-22 | 2023-12-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-11-22 | 2023-12-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-22 | 2023-12-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-22 | 2023-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-22 | 2023-12-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-22 | 2023-12-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-22 | 2023-12-16 | N |