A list of the most recent deficiencies for Palomar Heights Post Acute Rehab. 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 | 2023-12-27 | 2024-01-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-27 | 2023-11-27 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2023-09-25 | 2023-10-25 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2023-07-06 | 2023-08-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-04-21 | 2023-05-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-21 | 2023-05-19 | Y |
| Post nurse staffing information every day. | Health | 2023-04-21 | 2023-05-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-17 | 2023-03-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-17 | 2023-03-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-28 | 2022-11-14 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-03-17 | 2022-04-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-03-17 | 2022-04-17 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-03-17 | 2022-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-17 | 2022-04-17 | 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 | 2022-03-17 | 2022-04-17 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-03-17 | 2022-04-17 | 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 | 2022-03-17 | 2022-04-17 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-17 | 2022-04-17 | N |
| Keep all essential equipment working safely. | Health | 2022-03-17 | 2022-04-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-17 | 2022-04-17 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-03-22 | 2022-04-08 | 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 | 2022-03-22 | 2022-04-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-03-22 | 2022-04-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-22 | 2022-04-08 | 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 | 2019-11-21 | 2019-12-30 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2019-11-21 | 2019-12-30 | 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 | 2019-11-07 | 2019-12-07 | 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 | 2019-11-07 | 2019-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-07 | 2019-12-07 | 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 | 2019-11-07 | 2019-12-07 | 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 | 2019-11-07 | 2019-12-07 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-11-07 | 2019-12-07 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-07 | 2019-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2019-12-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-07 | 2019-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-07 | 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 | 2018-12-19 | 2019-01-10 | 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 | 2018-12-19 | 2019-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-19 | 2019-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-19 | 2019-01-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-12-19 | 2019-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-19 | 2019-01-10 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-19 | 2019-01-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-08 | 2018-12-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-08 | 2018-12-27 | 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 | 2018-11-08 | 2018-12-27 | N |
