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Deficiency Records for Santa Monica Rehabilitation Center
View the most recent health deficiencies and inspection results for Santa Monica Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Santa Monica Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-03-24 | 2026-04-29 | Y |
| 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 | 2026-03-24 | 2026-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-24 | 2026-04-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2026-03-24 | 2026-04-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-03-11 | 2026-03-27 | Y |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2026-03-11 | 2026-03-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2026-02-25 | 2026-03-20 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-02-17 | 2026-03-04 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2026-01-15 | 2026-02-13 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-01-05 | 2026-01-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-06 | 2026-01-23 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-12-11 | 2026-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-12-11 | 2026-01-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-12-09 | 2025-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-16 | 2025-10-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-09-04 | 2025-10-03 | Y |
| Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. | Health | 2025-08-21 | 2025-09-19 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-08-23 | 2025-09-19 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-08-23 | 2025-09-19 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-09-11 | 2025-09-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-07-23 | 2025-08-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-31 | 2025-08-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-22 | 2025-08-01 | Y |
| 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 | 2025-06-26 | 2025-07-18 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-06-26 | 2025-07-18 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2025-06-16 | 2025-07-01 | 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 | 2025-06-16 | 2025-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-05-08 | 2025-05-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-05-01 | 2025-05-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-04-24 | 2025-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-24 | 2025-04-30 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-04-24 | 2025-04-30 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2025-04-24 | 2025-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-04-04 | 2025-04-29 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-04-04 | 2025-04-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-04 | 2025-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-04 | 2025-04-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-08 | 2025-04-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-04-14 | 2025-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-04-02 | 2025-04-18 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-04-01 | 2025-04-12 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2025-04-01 | 2025-04-12 | Y |
| 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 | 2025-04-01 | 2025-04-12 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-04-01 | 2025-04-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-18 | 2025-04-03 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-03-18 | 2025-04-03 | 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 | 2025-03-18 | 2025-04-03 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2025-02-27 | 2025-03-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-27 | 2025-03-23 | Y |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2025-02-28 | 2025-03-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-06 | 2025-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-06 | 2025-03-01 | 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 | 2025-02-06 | 2025-03-01 | 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 | 2025-02-06 | 2025-03-01 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2025-02-06 | 2025-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-06 | 2025-03-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2025-02-06 | 2025-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-06 | 2025-03-01 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2025-02-06 | 2025-03-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-02-06 | 2025-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-06 | 2025-03-01 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2025-02-06 | 2025-03-01 | 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 | 2025-02-06 | 2025-03-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-02-06 | 2025-03-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2025-02-06 | 2025-03-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-02-06 | 2025-03-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-02-06 | 2025-03-01 | N |
| Keep all essential equipment working safely. | Health | 2025-01-13 | 2025-02-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-04 | 2024-12-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-26 | 2024-12-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-26 | 2024-12-14 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-26 | 2024-12-14 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-11-05 | 2024-12-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-05 | 2024-12-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-09-25 | 2024-10-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-08 | 2024-08-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-08 | 2024-08-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-01 | 2024-07-19 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-07-01 | 2024-07-19 | Y |
| 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 | 2024-04-12 | 2024-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-11 | 2024-04-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-11 | 2024-04-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-11 | 2024-04-26 | 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 | 2024-03-19 | 2024-04-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-04 | 2024-03-24 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-04 | 2024-03-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-04 | 2024-03-24 | Y |
| 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 | 2024-03-04 | 2024-03-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-04 | 2024-03-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-04 | 2024-03-24 | Y |
| 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 | 2024-02-27 | 2024-03-24 | Y |
| 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 | 2024-01-08 | 2024-03-11 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-01-08 | 2024-03-11 | Y |
| 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 | 2024-01-08 | 2024-03-11 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-25 | 2024-02-22 | 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 | 2024-01-25 | 2024-02-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-25 | 2024-02-22 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-01-25 | 2024-02-22 | 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 | 2024-01-25 | 2024-02-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-25 | 2024-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-02-18 | Y |
| 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 | 2024-01-25 | 2024-02-18 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-01-25 | 2024-02-18 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-01-25 | 2024-02-18 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-25 | 2024-02-18 | Y |
| 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 | 2024-01-25 | 2024-02-18 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-01-25 | 2024-02-18 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-01-25 | 2024-02-18 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-25 | 2024-02-18 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-02-18 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-25 | 2024-02-18 | Y |
| 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 | 2024-01-25 | 2024-02-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-02-18 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-25 | 2024-02-18 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-02-18 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-01-25 | 2024-02-18 | Y |
| Keep all essential equipment working safely. | Health | 2024-01-25 | 2024-02-18 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-25 | 2024-02-18 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-16 | 2024-01-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-01-29 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-01-08 | 2024-01-28 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-01-08 | 2024-01-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-08 | 2024-01-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-08 | 2024-01-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-08 | 2024-01-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-08 | 2024-01-28 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-01-08 | 2024-01-28 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-01-08 | 2024-01-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-01-08 | 2024-01-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-12 | 2024-01-01 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-12-12 | 2024-01-01 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-12 | 2024-01-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-12 | 2024-01-01 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-07 | 2023-11-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-07 | 2023-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-11-30 | Y |
| 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 | 2023-11-07 | 2023-11-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-07 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-07 | 2023-11-30 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-10-31 | 2023-11-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-01 | 2023-11-10 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-16 | 2023-10-27 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2023-09-23 | 2023-10-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-13 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-21 | 2023-08-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-10 | 2023-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-10 | 2023-03-31 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-10 | 2023-03-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-10 | 2023-03-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-03-10 | 2023-03-31 | N |
| Keep all essential equipment working safely. | Health | 2023-03-10 | 2023-03-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-10 | 2023-03-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-03-31 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-03-10 | 2023-03-31 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-10 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Provide activities to meet all resident's needs. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-03-10 | 2023-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-10 | 2023-03-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-03-31 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-10 | 2023-03-31 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-03-10 | 2023-03-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-10 | 2023-03-31 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-10 | 2023-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-03-10 | 2023-03-31 | 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 | 2023-03-10 | 2023-03-31 | N |