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Deficiency Records for Laguna Honda Hospital and Rehabilitation Ctr D/p Snf
View the most recent health deficiencies and inspection results for Laguna Honda Hospital and Rehabilitation Ctr D/p Snf. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Laguna Honda Hospital and Rehabilitation Ctr D/p Snf. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-04-16 | 2026-05-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-03-04 | 2026-03-23 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-03-04 | 2026-03-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-12-11 | 2026-03-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-08-01 | 2025-08-27 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-05 | 2025-08-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-06-04 | 2025-07-04 | Y |
| Install proper backup exit lighting. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Use approved construction type or materials. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Ensure gas and vacuum systems are inspected and tested as part of a maintenance program. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Ensure that smoke control systems are tested and documented in accordance with established engineering principles. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-05-02 | 2025-06-02 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-05-02 | 2025-06-01 | N |
| Dispose of garbage and refuse properly. | Health | 2025-05-02 | 2025-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-02 | 2025-06-01 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2025-05-02 | 2025-06-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-05-02 | 2025-06-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-02 | 2025-06-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-05-02 | 2025-06-01 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-05-02 | 2025-06-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-05-02 | 2025-06-01 | 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 | 2024-11-08 | 2024-12-09 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-11-08 | 2024-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-08 | 2024-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-08 | 2024-12-08 | 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 | 2024-11-08 | 2024-12-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-11-08 | 2024-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-08 | 2024-12-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-11-08 | 2024-12-08 | N |
| Provide appropriate foot care. | Health | 2024-10-02 | 2024-11-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-03 | 2024-05-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-19 | 2024-05-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-19 | 2024-05-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-28 | 2024-03-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-09 | 2024-03-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-09 | 2024-03-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-01 | 2024-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-01 | 2024-01-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2024-01-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-01 | 2024-01-31 | 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 | 2023-12-01 | 2024-01-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-01 | 2024-01-31 | 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 | 2023-12-01 | 2024-01-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-01-31 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-01 | 2024-01-31 | N |
| Keep all essential equipment working safely. | Health | 2023-12-01 | 2024-01-31 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-01 | 2024-01-31 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2024-01-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2024-01-31 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-01 | 2024-01-31 | N |
| Use approved construction type or materials. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-01 | 2024-01-12 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-12-01 | 2024-01-12 | 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 | 2026-04-23 | Not Fixed | Y |