Deficiency Records for Healthbridge Children's Hospital - Orange D/p Snf
Updated as of May 01, 2024
CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Healthbridge Children's Hospital - Orange D/p Snf
A list of the most recent deficiencies for Healthbridge Children's Hospital - Orange D/p Snf. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Healthbridge Children's Hospital - Orange 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-29 | 2024-03-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-03-29 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-28 | 2023-04-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-23 | 2023-04-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-23 | 2023-04-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-23 | 2023-04-25 | 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 | 2023-03-23 | 2023-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-23 | 2023-04-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-23 | 2023-04-25 | 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 | 2023-03-23 | 2023-04-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-23 | 2023-04-25 | N |
| 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 | 2023-03-23 | 2023-04-25 | 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 | 2023-03-23 | 2023-04-25 | 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 | 2023-04-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-23 | 2023-04-25 | 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 | 2023-04-25 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-03-23 | 2023-04-25 | 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 | 2023-04-25 | 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 | 2023-04-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-04-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-03-23 | 2023-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-23 | 2023-04-25 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-23 | 2023-04-25 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Use approved construction type or materials. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-16 | 2020-01-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-11-20 | 2019-12-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-20 | 2019-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-20 | 2019-12-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-11-20 | 2019-12-20 | 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 | 2019-11-20 | 2019-12-20 | 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 | 2019-11-20 | 2019-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-20 | 2019-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-20 | 2019-12-20 | N |
| Dispose of garbage and refuse properly. | Health | 2019-11-20 | 2019-12-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-20 | 2019-12-20 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-20 | 2019-12-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-03-01 | 2019-03-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-01 | 2019-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-01 | 2019-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-01 | 2019-03-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-03-01 | 2019-03-18 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-12-21 | 2019-01-21 | 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 | 2018-12-21 | 2019-01-21 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-12-21 | 2019-01-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-12-21 | 2019-01-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-21 | 2019-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-21 | 2019-01-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-21 | 2019-01-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-21 | 2019-01-21 | 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 | 2018-12-21 | 2019-01-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-21 | 2019-01-21 | 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 | 2018-12-21 | 2019-01-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-21 | 2019-01-21 | 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 | 2018-12-21 | 2019-01-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-12-21 | 2019-01-21 | 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 | 2018-12-21 | 2019-01-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-21 | 2019-01-21 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-12-21 | 2019-01-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-21 | 2019-01-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-21 | 2019-01-21 | N |
Healthcare Search Options
Make informed decisions about your healthcare optionsOur site is designed to help you find the information you need quickly and easily, no matter what type of healthcare provider you're looking for. We provide a wealth of statistics and data that can help you make informed decisions about your healthcare options.
Request a Report
Custom Database Reports
We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.
We can provide custom data reports based on our database of skilled nursing facilities. Anything from emails to spreadsheets to an API. Bring the data directly into Salesforce or any other CRM.
