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Deficiency Records for Ridgecrest Regional Transitional Care and Rehabili
A list of the most recent deficiencies for Ridgecrest Regional Transitional Care and Rehabili. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Ridgecrest Regional Transitional Care and Rehabili. 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 | 2025-03-06 | 2025-04-14 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2025-03-06 | 2025-04-14 | N |
| Keep all essential equipment working safely. | Health | 2025-03-06 | 2025-04-14 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-03-06 | 2025-04-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-03-06 | 2025-04-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-03-06 | 2025-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-03-06 | 2025-04-14 | 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 | 2025-03-06 | 2025-04-14 | 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 | 2025-03-06 | 2025-04-14 | 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 | 2025-03-06 | 2025-04-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2025-03-06 | 2025-04-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-03-06 | 2025-04-14 | 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 | 2025-03-06 | 2025-04-14 | 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 | 2025-03-06 | 2025-04-14 | 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 | 2025-03-06 | 2025-04-14 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-03-06 | 2025-04-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-03-18 | 2025-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-03-18 | 2025-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-03-18 | 2025-04-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-03-18 | 2025-04-07 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2025-03-18 | 2025-04-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-01-29 | 2025-02-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-18 | 2024-12-19 | 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 | 2024-12-18 | 2024-12-19 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-15 | 2024-11-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-15 | 2024-11-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-08 | 2024-07-21 | Y |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2024-05-14 | 2024-06-14 | 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 | 2024-05-14 | 2024-06-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-14 | 2024-06-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-29 | 2024-05-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-01 | 2024-05-28 | Y |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-19 | 2024-04-05 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-14 | 2024-04-05 | 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 | 2024-03-14 | 2024-04-05 | N |
| 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 | 2024-03-14 | 2024-04-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-14 | 2024-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-05 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-17 | 2023-12-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-17 | 2023-12-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-09 | 2023-10-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-09 | 2023-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-09 | 2023-10-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-17 | 2023-02-17 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-14 | 2022-08-15 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-14 | 2022-08-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-14 | 2022-08-15 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2022-07-14 | 2022-08-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-18 | 2022-08-02 | 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 | 2022-07-18 | 2022-08-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-18 | 2022-08-02 | N |
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