Deficiency Records for La Dora Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for La Dora Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-05 | 2024-01-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-05 | 2024-01-06 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-01-05 | 2024-01-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-05 | 2024-01-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-01-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-02 | 2024-01-05 | 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 | 2024-01-02 | 2024-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-02 | 2024-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-02 | 2024-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-02 | 2024-01-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-02 | 2024-01-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-04-27 | 2023-05-19 | Y |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-01 | 2022-11-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-02 | 2022-11-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-11-02 | 2022-11-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-02 | 2022-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-02 | 2022-11-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-01 | 2022-11-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-01 | 2022-11-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-01 | 2022-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-16 | 2021-10-07 | 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 | 2021-09-16 | 2021-10-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-16 | 2021-09-16 | N |
