Diamondback Healthcare Center

Nutrition and Dietary Deficiencies

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Infection Control Deficiencies

Provide and implement an infection prevention and control program.

Resident Rights Deficiencies

Keep residents' personal and medical records private and confidential.

Resident Rights Deficiencies

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Resident Assessment and Care Planning Deficiencies

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Quality of Life and Care Deficiencies

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Freedom from Abuse, Neglect, and Exploitation Deficiencies

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Emergency Preparedness Deficiencies

Conduct testing and exercise requirements.

Resident Assessment and Care Planning Deficiencies

Ensure services provided by the nursing facility meet professional standards of quality.

Quality of Life and Care Deficiencies

Provide safe and appropriate respiratory care for a resident when needed.

Based on observations, staff interviews, and policy review, the facility failed to ensure that food is labeled and dated after opening in accordance with professional food safety standards. The deficient practice may result in practices of food storage that may not be in accordance with professional food safety standards.  Â

 Based on clinical record review, observations, staff interviews, and review of policy and procedures, the facility failed to ensure proper infection prevention and control practices were implemented related to contact precautions for one resident of 5 residents (#117) and the facility failed to ensure that community infection control surveillance mapping was documented. The deficient practice could result in transmission of infection in the facility.

Based on clinical record review, observations, staff interviews, and review of policy and procedures, the facility failed to ensure proper infection prevention and control practices were implemented related to contact precautions for one resident of 5 residents (#117) and the facility failed to ensure that community infection control surveillance mapping was documented.Â

Based on observations, staff interviews, and policy review, the facility failed to ensure that food is labeled and dated after opening in accordance with professional food safety standards.

Based on closed record review, staff interviews, review of facility process and policy, and the State Operations Manual the facility failed to ensure that all transfer/discharge notifications were made for two residents (#17 and #22). The deficient practice could lead to notifications and pertinent information regarding the discharge/transfer not being provided.

Based on observation, interview, and record review, the facility failed to accurately document that a medication was discontinued and rationale thereof for one (#28) of three sampled residents.

Based on observation, interview, and record review, the facility failed to accurately document that a medication was discontinued and rationale thereof for one (#28) of three sampled residents. The deficient practice could result in negatively impacting continuity of care documentation.Â

Based on closed record review, staff interviews, review of facility process and policy, and the State Operations Manual the facility failed to ensure that all transfer/discharge notifications were made for two residents (#17 and #22).

Based on clinical record review, staff interviews, observation, and policy review, the facility failed to ensure resident-identifiable information was maintained confidentially and protected from public view for one Resident (#29). This deficient practice resulted in the exposure of protected health information (PHI) to an unauthorized individual and could result in a violation of residents’ rights to privacy and confidentiality.Â

Based on clinical record review, staff interviews, observation, and policy review, the facility failed to ensure resident-identifiable information was maintained confidentially and protected from public view for one Resident (#29).

Based on clinical record review, interviews and review of facility policy and procedure, the facility failed to ensure medications were administered within the physician ordered parameters for Resident #09. The deficient practice may result in medications being administered outside physician ordered parameters.

Based on clinical record review, interviews and review of facility policy and procedure, the facility failed to ensure medications were administered within the physician ordered parameters for Resident #09. The deficient practice may result in medications being administered outside physician ordered parameters.