Deficiency Records for Anaheim Point Healthcare and Wellness Centre, LP
Updated as of April 01, 2020
This is not the most recent data for Anaheim Point Healthcare and Wellness Centre, LP. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 |
| 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 | 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 ne | 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 |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-10-16 | 2019-11-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-16 | 2019-11-16 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-09-10 | 2019-10-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-09-10 | 2019-10-10 | Y |
| Honor the resident's right to choose his or her attending physician. | Health | 2019-07-24 | 2019-08-24 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2019-06-24 | 2019-07-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-06-03 | 2019-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-03 | 2019-07-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-06-03 | 2019-07-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-09 | 2019-06-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-05-09 | 2019-06-09 | Y |
| 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 |
| 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 |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-17 | 2019-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-17 | 2019-02-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-14 | 2018-12-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-14 | 2018-12-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-20 | 2018-10-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-20 | 2018-10-22 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-09-20 | 2018-10-22 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2018-09-24 | 2018-10-05 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2018-09-24 | 2018-10-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-09-24 | 2018-10-05 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-05-10 | 2018-05-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-04-26 | 2018-05-14 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-04-25 | 2018-05-11 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-04-25 | 2018-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-03-13 | 2018-04-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-03-13 | 2018-04-05 | 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 | 2018-03-13 | 2018-04-05 | N |
| Respond appropriately to all alleged violations. | Health | 2018-03-13 | 2018-04-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-03-13 | 2018-04-05 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-03-13 | 2018-04-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-13 | 2018-04-05 | 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 | 2018-03-13 | 2018-04-05 | N |
| Provide activities to meet all resident's needs. | Health | 2018-03-13 | 2018-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-03-13 | 2018-04-05 | N |
| Provide appropriate foot care. | Health | 2018-03-13 | 2018-04-05 | 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 | 2018-03-13 | 2018-04-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-13 | 2018-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-13 | 2018-04-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-03-13 | 2018-04-05 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-03-13 | 2018-04-05 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2018-03-13 | 2018-04-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-03-13 | 2018-04-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-13 | 2018-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-13 | 2018-04-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-03-13 | 2018-04-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-10 | 2018-02-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-01-10 | 2018-02-10 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2018-01-10 | 2018-02-10 | Y |
| 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 ne | Health | 2018-01-10 | 2018-02-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-08 | 2017-12-15 | Y |
| Assess in a timely manner the resident when the resident enters the nursing home. | Health | 2017-11-20 | 2017-12-06 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-11-20 | 2017-12-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2017-04-06 | 2017-05-05 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-04-06 | 2017-05-05 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-04-06 | 2017-05-05 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-04-06 | 2017-05-05 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-06 | 2017-05-05 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-06 | 2017-05-05 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-06 | 2017-05-05 | N |
| Make sure that doctors visit residents regularly, as required. | Health | 2017-04-06 | 2017-05-05 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-04-06 | 2017-05-05 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-06 | 2017-05-05 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-06 | 2017-05-05 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-06 | 2017-05-05 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-04-06 | 2017-05-05 | N |
