A list of the most recent deficiencies for Imperial Care Center. 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? |
---|---|---|---|---|
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2023-12-08 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2023-12-08 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-09 | 2023-11-30 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-18 | 2023-07-13 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-18 | 2023-07-13 | 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 | 2023-06-18 | 2023-07-13 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-18 | 2023-07-13 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-18 | 2023-07-13 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-18 | 2023-07-13 | Y |
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-18 | 2023-07-13 | Y |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2023-06-18 | 2023-07-13 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-30 | 2023-06-16 | 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 necessary and PRN use is limited. | Health | 2023-05-30 | 2023-06-16 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-10 | 2023-06-16 | Y |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-10 | 2023-06-16 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-23 | 2023-06-12 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-10 | 2023-05-22 | Y |
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-05-10 | 2023-05-22 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-10 | 2023-05-22 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-10 | 2023-05-22 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-10 | 2023-05-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-05-22 | 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 | 2023-05-10 | 2023-05-22 | Y |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-05-10 | 2023-05-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-10 | 2023-05-22 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-07 | 2023-03-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-26 | 2022-11-16 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-30 | 2022-10-19 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-14 | 2022-10-03 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-09-14 | 2022-10-03 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-05 | 2022-08-15 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-05 | 2022-08-15 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-06-30 | 2022-07-12 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-04-15 | 2022-04-28 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-17 | 2022-04-08 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-02-27 | 2022-03-16 | Y |
Keep residents' personal and medical records private and confidential. | Health | 2021-12-27 | 2022-01-07 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-27 | 2022-01-07 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-09-30 | 2021-10-10 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-20 | 2021-06-14 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-20 | 2021-06-14 | 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 | 2021-05-20 | 2021-06-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-20 | 2021-06-14 | 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 | 2021-05-20 | 2021-06-14 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-20 | 2021-06-14 | N |
Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-05-20 | 2021-06-14 | N |
Provide activities to meet all resident's needs. | Health | 2021-05-20 | 2021-06-14 | 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 | 2021-05-20 | 2021-06-14 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2021-05-20 | 2021-06-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-20 | 2021-06-14 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-05-20 | 2021-06-14 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-20 | 2021-06-14 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-14 | Y |
Implement emergency and standby power systems. | Fire Safety | 2021-05-27 | 2021-06-12 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-05-27 | 2021-06-12 | N |
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-05-27 | 2021-06-12 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-27 | 2021-06-12 | 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 | 2021-05-13 | 2021-05-21 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-13 | 2021-05-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-05-13 | 2021-05-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-04-29 | 2021-05-14 | Y |
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-03-16 | 2021-04-06 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-21 | 2019-11-14 | 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 | 2019-10-21 | 2019-11-14 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-10-21 | 2019-11-14 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-10-21 | 2019-11-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-21 | 2019-11-14 | 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 | 2019-10-21 | 2019-11-14 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-21 | 2019-11-14 | N |
Provide activities to meet all resident's needs. | Health | 2019-10-21 | 2019-11-14 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2019-10-21 | 2019-11-14 | 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 | 2019-10-21 | 2019-11-14 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-21 | 2019-11-14 | N |
Post nurse staffing information every day. | Health | 2019-10-21 | 2019-11-14 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2019-10-21 | 2019-11-14 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-21 | 2019-11-14 | 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 | 2019-10-21 | 2019-11-14 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-21 | 2019-11-14 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-22 | 2018-11-15 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-10-22 | 2018-11-15 | 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 | 2018-10-22 | 2018-11-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-22 | 2018-11-15 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-10-22 | 2018-11-15 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-10-22 | 2018-11-15 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-10-22 | 2018-11-15 | 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 | 2018-10-22 | 2018-11-15 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-22 | 2018-11-15 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-22 | 2018-11-15 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-10-22 | 2018-11-15 | N |
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-10-22 | 2018-11-15 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-22 | 2018-11-15 | N |
Install properly constructed windows in hallway walls or doors. | Fire Safety | 2018-10-22 | 2018-11-15 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-10-22 | 2018-11-15 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-10-22 | 2018-11-15 | N |
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2021-05-20 | Not Fixed | N |
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-10-21 | Not Fixed | N |
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2018-10-22 | Not Fixed | N |