Deficiency Records for Indian Canyon Post Acute
Updated as of April 01, 2021
This is not the most recent data for Indian Canyon Post Acute. For the most recent information, click here.
A list of the most recent deficiencies for Indian Canyon Post Acute. 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-16 | 2021-02-25 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-02-16 | 2021-02-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-11-12 | 2020-12-01 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2020-09-17 | 2020-10-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-07-07 | 2020-09-08 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-08-12 | 2020-08-28 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-08-12 | 2020-08-28 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-08-12 | 2020-08-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-07-31 | 2020-08-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-05-14 | 2020-06-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-30 | 2020-04-24 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2020-03-19 | 2020-04-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2020-03-18 | 2020-04-03 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2020-02-04 | 2020-03-30 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-02-04 | 2020-03-30 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-02-04 | 2020-03-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-10 | 2020-03-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-28 | 2020-02-07 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-03 | 2020-01-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-03 | 2020-01-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-08 | 2019-11-12 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-10-25 | 2019-11-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-10 | 2019-11-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-06 | 2019-09-04 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-24 | 2019-06-25 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-24 | 2019-06-25 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-05-24 | 2019-06-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-05-24 | 2019-06-25 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2019-05-24 | 2019-06-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-24 | 2019-06-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-24 | 2019-06-25 | 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 | 2019-05-24 | 2019-06-25 | 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 | 2019-05-24 | 2019-06-25 | N |
| Provide or obtain dental services for each resident. | Health | 2019-05-24 | 2019-06-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-24 | 2019-06-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-24 | 2019-06-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-13 | 2019-06-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-13 | 2019-06-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-13 | 2019-06-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-15 | 2019-06-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-05-17 | 2019-05-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-20 | 2019-04-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-08-19 | 2018-09-07 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-08-14 | 2018-09-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-08-18 | 2018-08-31 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Develop a communication plan. | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-07 | 2018-05-23 | 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 | 2018-05-07 | 2018-05-23 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-07 | 2018-05-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-05-07 | 2018-05-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-07 | 2018-05-23 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2018-05-07 | 2018-05-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-05-07 | 2018-05-23 | N |
| Respond appropriately to all alleged violations. | Health | 2018-05-07 | 2018-05-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-05-07 | 2018-05-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-07 | 2018-05-23 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-05-07 | 2018-05-23 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-05-07 | 2018-05-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-07 | 2018-05-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-05-07 | 2018-05-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-07 | 2018-05-23 | 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 | 2018-05-07 | 2018-05-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-05-07 | 2018-05-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-07 | 2018-05-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-05-07 | 2018-05-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-05-07 | 2018-05-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-07 | 2018-05-23 | N |
| Completely assess the resident at least every twelve months. | Health | 2017-05-04 | 2017-07-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-05-04 | 2017-07-06 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-05-04 | 2017-07-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-04 | 2017-07-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-05-04 | 2017-06-12 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-05-04 | 2017-06-12 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-05-04 | 2017-06-12 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2017-05-04 | 2017-06-12 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-04 | 2017-06-12 | 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 | 2017-05-04 | 2017-06-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-05-04 | 2017-06-12 | N |
| Have enough backup water supply for essential areas of the nursing home. | Health | 2017-05-04 | 2017-06-12 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-05-04 | 2017-06-12 | N |
