Deficiency Records for Glendale Adventist Medical Center Dp/snf
Updated as of April 01, 2024
A list of the most recent deficiencies for Glendale Adventist Medical Center Dp/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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-06 | 2023-08-29 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-06 | 2023-08-29 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-06 | 2023-08-29 | 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 | 2023-08-06 | 2023-08-29 | 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 | 2023-08-06 | 2023-08-29 | N |
Provide and implement an infection prevention and control program. | Health | 2023-08-06 | 2023-08-29 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-06 | 2023-08-10 | 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 | 2023-08-06 | 2023-08-10 | N |
Construct fire resistant interior walls. | Fire Safety | 2023-08-06 | 2023-08-10 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-06 | 2023-08-10 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-08-06 | 2023-08-10 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-06 | 2023-08-10 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-01-10 | 2023-02-21 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-04-05 | 2021-05-26 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-05 | 2021-05-26 | N |
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2019-03-20 | 2019-04-18 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-20 | 2019-04-18 | 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 | 2019-03-20 | 2019-04-18 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-03-20 | 2019-04-18 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-20 | 2019-04-18 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-03-20 | 2019-04-18 | N |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-03-20 | 2019-04-18 | N |
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-03-20 | 2019-04-18 | N |
Provide and implement an infection prevention and control program. | Health | 2019-03-20 | 2019-04-18 | N |