Deficiency Records for Monterey Healthcare and Wellness Centre, LP

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Updated as of May 01, 2024

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Deficiency Records for Monterey Healthcare and Wellness Centre, LP

A list of the most recent deficiencies for Monterey Healthcare and Wellness Centre, LP. 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 Monterey Healthcare and Wellness Centre, LP. 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?
Implement emergency and standby power systems. Fire Safety 2024-03-13 2024-04-15 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2024-03-13 2024-04-15 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-03-13 2024-04-15 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 2024-03-13 2024-04-15 N
Install an approved automatic sprinkler system. Fire Safety 2024-03-13 2024-04-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-03-13 2024-04-15 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-03-13 2024-04-15 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-03-13 2024-04-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-03-13 2024-04-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-03-13 2024-04-15 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 2024-03-15 2024-04-08 N
Keep residents' personal and medical records private and confidential. Health 2024-03-15 2024-04-08 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 2024-03-15 2024-04-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-15 2024-04-08 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-03-15 2024-04-08 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2024-03-15 2024-04-08 N
Post nurse staffing information every day. Health 2024-03-15 2024-04-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-03-15 2024-04-08 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 2024-03-15 2024-04-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-15 2024-04-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-15 2024-04-08 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2024-03-15 2024-04-08 N
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Health 2024-03-15 2024-04-08 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-03-15 2024-04-08 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-03-15 2024-04-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-03-15 2024-04-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-26 2024-03-20 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-11-03 2023-11-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-12 2023-09-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-17 2023-09-08 Y
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-08-17 2023-09-08 Y
Implement emergency and standby power systems. Fire Safety 2023-04-04 2023-05-01 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2023-04-04 2023-05-01 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-04 2023-05-01 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 2023-04-04 2023-05-01 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-31 2023-04-28 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-31 2023-04-28 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-03-31 2023-04-28 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 2023-03-31 2023-04-28 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-03-31 2023-04-28 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-03-31 2023-04-28 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-31 2023-04-28 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-31 2023-04-28 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-31 2023-04-28 N
Provide care or services that was trauma informed and/or culturally competent. Health 2023-03-31 2023-04-28 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2023-03-31 2023-04-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-03-31 2023-04-28 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 2023-03-31 2023-04-28 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 2023-03-31 2023-04-28 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2023-03-31 2023-04-28 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2023-03-31 2023-04-28 N
Implement a program that monitors antibiotic use. Health 2023-03-31 2023-04-28 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-03-31 2023-04-28 N
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Health 2023-03-31 2023-04-28 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-03-31 2023-04-28 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-31 2023-04-28 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-03-31 2023-04-28 Y
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-02-28 2023-03-13 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-02-28 2023-03-13 Y
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 2023-02-25 2023-03-10 Y
Provide and implement an infection prevention and control program. Health 2023-02-25 2023-03-10 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-01-20 2023-02-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-26 2022-10-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-04-29 2022-05-23 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-11-07 2019-12-05 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-11-07 2019-12-05 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-11-07 2019-12-05 N
Provide enough food/fluids to maintain a resident's health. Health 2019-11-07 2019-12-05 N
Post nurse staffing information every day. Health 2019-11-07 2019-12-05 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-11-07 2019-12-05 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 2019-11-07 2019-12-05 N
Implement a program that monitors antibiotic use. Health 2019-11-07 2019-12-05 N
Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. Health 2019-11-07 2019-12-05 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-11-07 2019-12-05 N
Meet other general requirements that are deficient. Fire Safety 2019-11-05 2019-12-03 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 2019-11-05 2019-12-03 N
Construct fire resistant interior walls. Fire Safety 2019-11-05 2019-12-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-11-05 2019-12-03 N
Ensure proper usage of power strips and extension cords. Fire Safety 2019-11-05 2019-12-03 N

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