Deficiency Records for Murrieta Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Murrieta Health and Rehabilitation 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-12 | 2024-01-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-17 | 2023-08-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-23 | 2023-07-11 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-04-25 | 2023-05-05 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-25 | 2023-05-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-03-28 | 2023-04-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-23 | 2023-04-14 | 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 | 2023-03-23 | 2023-04-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-23 | 2023-04-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-23 | 2023-04-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-23 | 2023-04-14 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-23 | 2023-04-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-23 | 2023-04-14 | 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 | 2023-03-23 | 2023-04-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-23 | 2023-04-14 | 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 | 2023-03-23 | 2023-04-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-03-23 | 2023-04-14 | 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 | 2023-03-23 | 2023-04-14 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-23 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-23 | 2023-04-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-23 | 2023-04-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-23 | 2023-04-14 | N |
| Report COVID19 data to residents and families. | Health | 2023-03-23 | 2023-04-14 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-03-23 | 2023-04-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-27 | 2023-03-17 | 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 | 2023-03-06 | 2023-03-14 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-01-04 | 2023-01-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-17 | 2022-10-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-08 | 2022-09-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-29 | 2022-09-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-04 | 2022-08-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-14 | 2022-07-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-14 | 2022-07-29 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-07-14 | 2022-07-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-07-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-21 | 2022-07-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-03 | 2022-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-03 | 2022-06-17 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-04-22 | 2022-05-10 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-22 | 2022-05-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-28 | 2022-03-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-28 | 2022-03-14 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-11-18 | 2021-12-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-04 | 2021-11-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-10-01 | 2021-10-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-17 | 2021-09-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-17 | 2021-09-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-19 | 2021-08-02 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-07-19 | 2021-08-02 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Establish methods for sharing information. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-20 | 2020-01-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-21 | 2019-12-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-21 | 2019-12-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-21 | 2019-12-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-21 | 2019-12-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-21 | 2019-12-19 | N |
| Respond appropriately to all alleged violations. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2019-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-21 | 2019-12-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-21 | 2019-12-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-11-21 | 2019-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2019-12-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-02-19 | 2019-03-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-02-19 | 2019-03-13 | N |
| Use approved construction type or materials. | Fire Safety | 2019-02-19 | 2019-03-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-02-19 | 2019-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-02-19 | 2019-03-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-02-19 | 2019-03-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-14 | 2019-01-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-14 | 2019-01-28 | N |
| 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 | 2018-12-14 | 2019-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-14 | 2019-01-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-12-14 | 2019-01-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-14 | 2019-01-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-14 | 2019-01-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-14 | 2019-01-28 | N |
