Deficiency Records for Kindred Hospital Brea D/p Snf
Updated as of March 01, 2020
This is not the most recent data for Kindred Hospital Brea D/p Snf. For the most recent information, click here.
A list of the most recent deficiencies for Kindred Hospital Brea 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-08 | 2019-11-28 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-08 | 2019-11-28 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2019-11-08 | 2019-11-28 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-30 | 2019-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-28 | 2019-07-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-28 | 2019-07-23 | 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 | 2019-06-28 | 2019-07-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-28 | 2019-07-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-06-28 | 2019-07-23 | 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 | 2019-06-28 | 2019-07-23 | 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 ne | Health | 2019-06-28 | 2019-07-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-06-28 | 2019-07-23 | 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 | 2019-06-28 | 2019-07-23 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2019-06-28 | 2019-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-28 | 2019-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-07-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-11-15 | 2018-12-12 | N |
| Develop a communication plan. | Fire Safety | 2018-11-15 | 2018-12-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-11-15 | 2018-12-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-11-15 | 2018-12-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-19 | 2018-08-19 | 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 | Health | 2018-07-19 | 2018-08-19 | 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 | 2018-07-19 | 2018-08-19 | N |
| Keep all essential equipment working safely. | Health | 2018-07-19 | 2018-08-19 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2018-07-19 | 2018-08-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-08 | 2018-03-26 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-07-13 | 2017-08-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-07-13 | 2017-08-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-07-13 | 2017-08-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-07-13 | 2017-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-07-13 | 2017-08-22 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-07-13 | 2017-08-22 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-07 | 2017-07-31 | N |
| Have a detailed, written plan for disasters and emergencies, such as fire, severe weather, and missing residents. | Health | 2017-07-07 | 2017-07-31 | N |
