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? |
|---|---|---|---|---|
| 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 | 2024-01-18 | 2024-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-27 | 2023-12-14 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-11-15 | 2023-12-06 | Y |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-10-19 | 2023-10-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-14 | 2022-07-29 | 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 | 2022-07-14 | 2022-07-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-12 | 2022-06-21 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-06-11 | 2022-06-16 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-12 | 2022-06-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-25 | 2022-03-14 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-02-25 | 2022-03-14 | 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 | 2022-02-01 | 2022-02-22 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-12-10 | 2022-01-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-12-10 | 2022-01-11 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-10 | 2022-01-11 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-12-10 | 2022-01-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-10 | 2022-01-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-12-10 | 2022-01-11 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2021-12-10 | 2022-01-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-10 | 2022-01-11 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-12-10 | 2022-01-11 | 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 | 2021-12-10 | 2022-01-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-10 | 2022-01-11 | 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 | 2021-12-10 | 2022-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-10 | 2022-01-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-10 | 2022-01-11 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Use approved construction type or materials. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-08 | 2021-12-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-02 | 2021-11-30 | 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 | 2021-07-21 | 2021-08-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-14 | 2021-08-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-12 | 2021-08-12 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-04-27 | 2021-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-10 | 2021-05-06 | 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 |
| Use approved construction type or materials. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-27 | 2019-08-23 | N |
| Ensure proper usage of power strips and extension cords. | 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 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 |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-20 | 2018-08-07 | N |
| Ensure proper usage of power strips and extension cords. | 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 |
