A list of the most recent deficiencies for Center at Zaragoza, LLC. 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? |
|---|---|---|---|---|
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Provide emergency officials' contact information. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-01 | 2023-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-01 | 2023-05-31 | 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 | 2023-03-16 | 2023-04-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-16 | 2023-04-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-16 | 2023-04-15 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-03-16 | 2023-04-15 | N |
| Provide appropriate foot care. | Health | 2023-03-16 | 2023-04-15 | N |
| Post nurse staffing information every day. | Health | 2023-03-16 | 2023-04-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-16 | 2023-04-15 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-16 | 2023-04-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-16 | 2023-04-15 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-16 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-16 | 2023-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-25 | 2022-07-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-04 | 2022-02-07 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-02-04 | 2022-02-07 | 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 | 2022-02-04 | 2022-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-04 | 2022-02-07 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2021-06-24 | 2021-10-28 | N |
| Ensure gas and vacuum piping is labeled. | Fire Safety | 2021-06-24 | 2021-10-28 | N |
| Use approved construction type or materials. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-06-24 | 2021-10-20 | 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 | 2021-06-24 | 2021-10-20 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Ensure that HVAC heat units are suspended and out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-06-24 | 2021-10-20 | N |
