Deficiency Records for Anaheim Point Healthcare and Wellness Centre, LP
Updated as of March 01, 2024
A list of the most recent deficiencies for Anaheim Point Healthcare and Wellness Centre, LP. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2024-01-04 | 2024-02-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2023-12-08 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-08 | 2023-12-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-15 | 2023-10-15 | 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 | 2023-09-15 | 2023-10-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-24 | 2023-07-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-24 | 2023-07-08 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-04-24 | 2023-06-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-04-24 | 2023-06-08 | 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 | 2023-04-24 | 2023-06-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-24 | 2023-06-08 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-04-24 | 2023-06-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-24 | 2023-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-24 | 2023-06-08 | 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 | 2023-04-24 | 2023-06-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-24 | 2023-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-24 | 2023-06-08 | 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 | 2023-04-24 | 2023-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-24 | 2023-06-08 | 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 | 2023-04-24 | 2023-06-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-24 | 2023-06-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-04-24 | 2023-06-08 | 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 | 2023-04-24 | 2023-06-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-04-24 | 2023-06-08 | 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 | 2023-04-24 | 2023-06-08 | 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 | 2023-04-24 | 2023-06-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-24 | 2023-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-24 | 2023-06-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-04-24 | 2023-06-08 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-24 | 2023-06-08 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-24 | 2023-06-08 | Y |
| Provide primary/alternate means for communication. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-24 | 2023-05-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-12 | 2023-02-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-12 | 2023-02-12 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-04 | 2023-02-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-18 | 2022-12-18 | 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 | 2022-11-18 | 2022-12-18 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-04 | 2022-11-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-22 | 2022-10-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-09-04 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-08-04 | 2022-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-20 | 2022-07-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-09 | 2022-06-08 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-26 | 2022-05-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-01 | 2022-03-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-13 | 2021-05-13 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-03-15 | 2021-03-30 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Construct fire resistant interior walls. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-11 | 2020-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-02-11 | 2020-03-18 | 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 | 2020-01-31 | 2020-03-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-31 | 2020-03-01 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-31 | 2020-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-31 | 2020-03-01 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide activities to meet all resident's needs. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-31 | 2020-03-01 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-01-31 | 2020-03-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-01-31 | 2020-03-01 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-01-31 | 2020-03-01 | 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 | 2020-01-31 | 2020-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-31 | 2020-03-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-31 | 2020-03-01 | N |
| Keep all essential equipment working safely. | Health | 2020-01-31 | 2020-03-01 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-04-11 | 2019-06-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-11 | 2019-06-04 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-11 | 2019-06-04 | 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 | 2019-04-11 | 2019-06-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-11 | 2019-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-11 | 2019-06-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-11 | 2019-06-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-02-12 | 2019-03-18 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2019-02-12 | 2019-03-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-02-12 | 2019-03-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-02-12 | 2019-03-18 | 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 | 2019-02-12 | 2019-03-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-02-12 | 2019-03-18 | 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 | 2019-02-12 | 2019-03-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-02-12 | 2019-03-18 | N |
| Provide activities to meet all resident's needs. | Health | 2019-02-12 | 2019-03-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-12 | 2019-03-18 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-02-12 | 2019-03-18 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-02-12 | 2019-03-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-12 | 2019-03-18 | 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 | 2019-02-12 | 2019-03-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-02-12 | 2019-03-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-02-12 | 2019-03-18 | N |
