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Deficiency Records for Advanced Rehab Center of Tustin
A list of the most recent deficiencies for Advanced Rehab Center of Tustin. 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 Advanced Rehab Center of Tustin. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-13 | 2024-08-31 | 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 | 2024-08-07 | 2024-08-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-08-07 | 2024-08-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-07 | 2024-08-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-12 | 2024-08-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-12 | 2024-08-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-12 | 2024-08-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-12 | 2024-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-12 | 2024-08-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-12 | 2024-08-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-12 | 2024-08-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-12 | 2024-08-06 | Y |
| 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 | 2024-07-12 | 2024-08-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-25 | 2024-05-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-25 | 2024-05-01 | Y |
| 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 | 2024-04-03 | 2024-04-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-17 | 2024-02-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-09 | 2024-01-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-09 | 2023-12-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-09 | 2023-12-09 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-09 | 2023-12-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-09 | 2023-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-09 | 2023-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-09 | 2023-12-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2023-12-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-09 | 2023-12-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-11-09 | 2023-12-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-09 | 2023-12-09 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-11-09 | 2023-12-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-09 | 2023-12-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2023-12-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-09 | 2023-12-09 | 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 | 2023-11-09 | 2023-12-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-09 | 2023-12-09 | 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 | 2023-11-09 | 2023-12-09 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-11-09 | 2023-12-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-11-09 | 2023-12-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2023-12-09 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-11-09 | 2023-12-09 | N |
| Dispose of garbage and refuse properly. | Health | 2023-11-09 | 2023-12-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-09 | 2023-12-09 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-11-09 | 2023-12-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-09 | 2023-12-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-11-09 | 2023-12-09 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-11-09 | 2023-12-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-11-09 | 2023-12-09 | Y |
| 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 | 2023-11-09 | 2023-12-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-09 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-14 | 2023-11-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-10 | 2023-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-10 | 2023-04-09 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-01-20 | 2023-02-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-17 | 2023-02-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-29 | 2022-12-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-18 | 2022-12-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-10 | 2022-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-10 | 2022-12-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-04 | 2022-06-03 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-19 | 2022-05-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-26 | 2022-05-04 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-01-25 | 2022-02-24 | 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 | 2022-01-25 | 2022-02-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-25 | 2022-02-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-25 | 2022-02-24 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-01-25 | 2022-02-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-25 | 2022-02-24 | N |
| Dispose of garbage and refuse properly. | Health | 2022-01-25 | 2022-02-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-01-25 | 2022-02-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2022-01-25 | 2022-02-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-01-25 | 2022-02-15 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2022-01-25 | 2022-02-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-02-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-25 | 2022-02-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-25 | 2022-02-15 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-10-30 | 2019-11-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-10-30 | 2019-11-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-08 | 2019-10-31 | 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 | 2019-10-08 | 2019-10-31 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-08 | 2019-10-31 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-10-08 | 2019-10-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-08 | 2019-10-31 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2019-10-08 | 2019-10-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-08 | 2019-10-31 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-10-08 | 2019-10-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-08 | 2019-10-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-08 | 2019-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-08 | 2019-10-31 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-08 | 2019-10-31 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-10-08 | 2019-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-10-08 | 2019-10-31 | 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 | 2019-10-08 | 2019-10-31 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-10-08 | 2019-10-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-08 | 2019-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-08 | 2019-10-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-08 | 2019-10-31 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-10-08 | 2019-10-31 | N |
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