Deficiency Records for Chapman Global Medical Center D/p Snf
Updated as of March 01, 2019
This is not the most recent data for Chapman Global Medical Center D/p Snf. For the most recent information, click here.
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? |
---|---|---|---|---|
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-10-03 | 2018-10-22 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-09 | 2018-01-26 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-01-09 | 2018-01-26 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-01-09 | 2018-01-26 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-09 | 2018-01-26 | 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 | 2018-01-09 | 2018-01-26 | 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 | 2018-01-09 | 2018-01-26 | 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 | 2018-01-09 | 2018-01-26 | 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 | 2018-01-09 | 2018-01-26 | 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 | 2018-01-09 | 2018-01-26 | N |
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 | 2018-01-09 | 2018-01-26 | N |
Provide and implement an infection prevention and control program. | Health | 2018-01-09 | 2018-01-26 | N |
Implement a program that monitors antibiotic use. | Health | 2018-01-09 | 2018-01-26 | N |
Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-01-27 | 2017-02-25 | N |
Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-27 | 2017-02-25 | N |
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-27 | 2017-02-25 | 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 | 2017-01-27 | 2017-02-25 | N |
Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-01-27 | 2017-02-25 | N |
Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-01-27 | 2017-02-25 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-01-27 | 2017-02-25 | N |
Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-27 | 2017-02-25 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2017-01-27 | 2017-02-25 | N |
Keep all essential equipment working safely. | Health | 2017-01-27 | 2017-02-25 | N |
Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2017-01-27 | 2017-02-25 | N |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-01-27 | 2017-02-25 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-27 | 2017-02-25 | N |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-12-01 | 2016-12-20 | Y |
Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-22 | 2016-05-20 | Y |
Corridor and hallway doors that block smoke. | Fire Safety | 2016-03-22 | 2016-04-06 | N |
Properly maintained smoke detectors. | Fire Safety | 2016-03-22 | 2016-04-06 | N |
Properly installed electrical wiring and equipment. | Fire Safety | 2016-03-22 | 2016-04-06 | N |
Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2016-03-14 | 2016-03-31 | N |
Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-14 | 2016-03-31 | N |
Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-03-14 | 2016-03-31 | N |
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-03-14 | 2016-03-31 | N |
Store, cook, and serve food in a safe and clean way. | Health | 2016-03-14 | 2016-03-31 | N |
Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-14 | 2016-03-31 | N |
Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-03-14 | 2016-03-31 | N |
Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2016-03-14 | 2016-03-31 | N |