Deficiency Records for Chapman Global Medical Center D/p Snf
Updated as of March 01, 2024
A list of the most recent deficiencies for Chapman Global Medical Center D/p Snf. 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 activities to meet all resident's needs. | Health | 2023-09-19 | 2023-10-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-31 | 2023-09-01 | Y |
| 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 | 2023-02-21 | 2023-03-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-21 | 2023-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-21 | 2023-03-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-21 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-21 | 2023-03-21 | 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 | 2023-02-21 | 2023-03-21 | 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 | 2023-02-21 | 2023-03-21 | 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 | 2023-02-21 | 2023-03-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-21 | 2023-03-21 | 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 | 2023-02-21 | 2023-03-21 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-02-21 | 2023-03-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-21 | 2023-03-21 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-02-21 | 2023-03-21 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-02-22 | 2023-03-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-22 | 2023-03-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-03-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-02-22 | 2023-03-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-22 | 2023-03-07 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-08-23 | 2022-09-09 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-19 | 2019-12-10 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-10-08 | 2019-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-08 | 2019-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-08 | 2019-10-17 | 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 | 2019-10-08 | 2019-10-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-08 | 2019-10-17 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-12-12 | 2018-12-28 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-12 | 2018-12-28 | 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 | 2018-12-12 | 2018-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-12 | 2018-12-28 | N |
