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Mainplace Post Acute
1835 W. La Veta Ave, Orange, CA 92868
Based on 40 reviews
Services and Housing Options
Assisted Living, Memory Care, Nursing Home, Skilled Nursing, RehabilitationEstimated Pricing
For Pricing & Availability
(800) 780-8101To Reach a Resident
(714) 978-6800Find a Senior Community that Best Fits Your Needs
Mainplace Post Acute Description
At MainPlace Post Acute, we provide individualized care and treatment plans created by our talented and focused staff in collaboration with you, your family, and your healthcare provider. When you step through the doors of MainPlace of Orange, you'll be greeted by our warm smiles. This is a place where you can regain your strength and mobility and feel at home. At MainPlace Post Acute, our caring and professional staff will collaborate with you, your loved ones, and your healthcare team to develop a comprehensive and individualized care plan.Rehabilitation
No matter what ails you, our rehabilitation team is ready to help you make a successful recovery. Our therapy team is excited to bring the latest techniques and programs to our patients! By continuing their education, our physical and occupational therapists are able to stay up-to-date with the latest research and apply it to improve balance and reduce fall risk. They also use different types of therapy combined with a full service therapy program to help patients get stronger, improve their balance, reduce pain, heal wounds, stop urinary incontinence, and increase range of motion.Skilled Nursing
At MainPlace Post Acute, we provide individualized care to meet your specific health needs so you can feel confident and comfortable. We want every day you spend with us to be comfortable, safe and therapeutic, so we strive to be the skilled nursing facility of choice in our community.Price Comparison
Ranking
Parent Organization
Mainplace Post Acute is a member of a larger group of communities called Ensign ServicesConnect with a Free Senior Living Advisor
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Informational Videos
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Amenities
Mainplace Post Acute provides an extensive list of amenities to its residents. There are two courtyards providing outside enjoyment with built-in BBQ grills, a separate memory care court with secured entry, and Wi-Fi, cable, and utilities are included in the monthly rent (except telephone). The facility also offers a TV room, small library, piano and organ, beauty salon/barber shop, laundry room, elevator and more.Services
Mainplace Post Acute offers 24-hour caregiving staff to ensure the safety and wellbeing of its residents. In addition, they provide bathing, dressing, and grooming assistance. Medication administration and monitoring are also available, as well as an emergency call system in case of emergency. In-house visiting physicians, podiatry care, and dental care are provided on a weekly basis. Weekly housekeeping and linen service are also offered, as well as personal laundry services. Maintenance service is also available for any issues that may arise.Rehabilitation Services and Amenities
Mainplace Post Acute offers a wide range of rehabilitation services and amenities, all under the guidance of qualified professionals. Their team includes Physical Therapists (PT) and Physical Therapy Assistants (PTA), Occupational Therapists (OT) and Certified Occupational Therapy Assistants (COTA), Speech and Language Pathologists, as well as Rehab Aide/Technicians. All of these professionals work together to ensure that patients receive the best possible care and attention while they are in rehabilitation.Health
long-term care
skilled nursing
therapists
short-term rehabilitation
in-house therapy team
Activities
games
variety of activities
art
excursions
Employee Reviews for Ensign Services in Orange, California
3 out of 5 stars. Based on 1 reviews
Employees who have worked for Ensign Services in the Orange, CA area have generally had a positive experience. They report that the culture and work environment are great, with upper management being particularly supportive. However, there is not much room for growth, and employees suggest that lower management could be improved by working more closely with their employees and listening to their needs. Overall, employees rate their experience at Ensign Services 3.0 out of 5 stars.Employee Reviews for Ensign Services
2.97 out of 5 stars. Based on 442 reviews
Employees of Ensign Services report a great environment, benefits, and friendly staff. However, they also mention a fast pace, location issues, lack of competitive pay, poor management, limited resources for help, low pay for the work they do, rude residents, lack of structure and non-defined responsibilities, lack of transparency, nepotism, and a lack of appreciation for employees. Advice to management includes being more empathetic and listening to employees, putting patients first, not profit, hiring for talent, not just bodies, and creating more lower level office staff to help ease the burden off administration and nursing.Information from Centers for Medicare & Medicaid Services
This nursing community has been given an overall rating of 3 out of 5 stars by The Center for Medicare and Medicaid receiving 2 stars on its health inspection, 5 stars on its quality measures rating, and 4 stars on its staffing rating. Within the quality measure rating, each facility is given a short-stay rating and a long-stay rating. This facility received a 5-star short-stay rating and a 5-star long-stay rating. This nursing home is certified by Medicare and Medicaid and was first approved to provide Medicare and Medicaid services on 03/04/87 and is run by a for profit organization. It is a very large-sized nursing community with 169 nursing beds. Currently, there are 139 residents within the nursing community. Be advised these resident occupancy numbers are not always up to date and are collected from the Center for Medicare and Medicaid Services website periodically.Alerts from Centers for Medicare & Medicaid Services
The facility has also had 17 substantiated complaints reported in the last 3 years that resulted in a citation. The facility has had 7 facility incidents reported in the last 3 years that resulted in a citation.Overall Ratings
This nursing home, The Mainplace Post Acute, is in the top half of facilities in terms of overall rating. The overall rating is slightly lower than the state average. This nursing home has a 2-star health inspection rating, the second lowest possible. The nursing home is in the bottom 40% of facilities in terms of health inspection rating. The health inspection rating is slightly lower than the state average but this nursing home has a 5-star quality rating, which is highest possible. In fact, the qualityrating at this facility is slightly higher than thenstate average and puts themin tthe top 20% offacilitiesi nthis category.Staff Ratings
The Mainplace Post Acute is a nursing home with a 4-star staff rating, the second highest possible. The nursing home is in the top 40% of facilities in terms of nursing aid staffing hours per resident per day. The nursing aid staffing hours per resident per day is slightly lower than the state average. The nursing home is in the top 20% of facilities in terms of LPN staffing hours per resident per day. The LPN staffing hours per resident per day is slightly higher than the state average. The nursing home is in the bottom 40% of facilities in terms of RN staffing hours per resident per day. The RN staffing hours per resident per day is slightly lower than the state average. The nursing home is in the top 30% of facilities in terms of licensed staffing hours per resident per day. The licensed staffing hours per resident per day is slightly lower than the state average. The nursing home is in the top 30% of facilities in terms of physical therapist staffing hours per resident per day. The physical therapist staffing hours per resident per day is slightly higher than the state average.Covid Data
The Mainplace Post Acute is a nursing home that ranks in the bottom 30% of facilities in terms of resident vaccination rate. The home's resident vaccination rate of 81.2% is lower than the state average of 89.1%. However, the nursing staff ranks in the top half of vaccinated employees with a 93.5% vaccination rate, which is only slightly lower than the state average of 95.1%. In terms of covid booster shots, The Mainplace Post Acute falls into the bottom 40% of facilities with a 82.6% booster shot rate; again, this number is only slightly lower than the state average covid booster shot rate 84.3%.Emergency and Hospitalization Quality Measures
The Mainplace Post Acute is a nursing home that is in the bottom 40% of facilities in terms of hospitalizations per 1000 days. The hospitalizations per 1000 days is slightly higher than the state average. The nursing home is in the top 30% of facilities in terms of outpatient emergency department visits per 1000 days. The outpatient emergency department visits per 1000 days is slightly lower than the state average. The nursing home is in the top half of facilities in terms of short-stay residents who had outpatient emergency department visits. The short-stay residents who had outpatient emergency department visits is slightly higher than the state average. The nursing home is also in the top half of facilities in terms of short stay residents who were rehospitalized after a nursing home admission. However, the short stay residents who were rehospitalized after a nursing home admission at this facility is lower than the state average.By clicking "Get Exact Costs", you consent to being contacted either by My Caring Plan or our third-party partners at the phone number and contact information provided, including through the use of an automated dialer system. I agree to be bound by My Caring Plan’s Terms and Conditions and Privacy Policy
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Disclaimer
My Caring Plan is not affiliated with the owner or operator(s) of this facility. The information on this page has not been verified or approved by the owner or operator. The information about this facility has been created to the best of our abilities. If you manage this facility please contact us here to claim this listing.
By clicking "Get Exact Costs", you consent to being contacted either by My Caring Plan or our third-party partners at the phone number and contact information provided, including through the use of an automated dialer system. I agree to be bound by My Caring Plan’s Terms and Conditions and Privacy Policy
Reviews
General Staff Rating
Care Staff Rating
Food Staff Rating
Cleanliness Rating
Activities and Services Rating
The employees are nice, I've had no issues with my father here. Would recommend.
Very dishonest center. I had a horrible time with MainPlace Post Acute. Their staff does not care for people well. My loved one was neglected and treated with zero respect. Their nurses and staff are not trained.
Would give no stars if it would let me.. Patient was there 1 week. TV and phone did not work...."technician will be here tomorrow" tomorrow never came. Patient would try and adjust bed and wrong part of bed would adjust even tho correct button was pushed.. Patient is short and bed was broken and would not go down. Patient would push call button, it would take a long time for them to come. Patient's roommate fell on floor and was there for about an hour after calling for help, even tho the nurse's station was right outside the door. They were rough changing patient's diaper and took a long time to come. Food was ok. Physical therapist was nice, helpful and kind. When signing paperwork when patient first got there, The woman stated she was off in 5 minutes so she wanted to go thru the paperwork quickly. Had to stop her a few times to explain things and she was irritated because she "was off and wanted to go home". Brought patient home because we can give better care. DO NOT SEND YOUR LIVED ONES HERE!!!!
The staff is very loving towards their care of the residents and I like the way the medical staff stays on top of situations in order to catch things early on. The activities staff are creative and active in improving the quality of life of the residents. The only reason I don't give them a 5 is because of the limited parking when visiting. They do have a valet service but it's difficult to find an actual parking spot. Otherwise, great facility.
This is the worst place ever!!
If there were a negative -5 star that would be appropriate for this joint. Worst care my mother ever received when she had to enter a post acute situation. Not sure how they get away with advertising wound healing and care center when she never arrived with a bed sore but managed to get one there within 4 weeks. NO special attention given to the individual needs of patients. A phone call might take 45 mins. or longer to get to a bedridden patient, so bad that nurses tried to pass me off to another patient to talk to who was not my mother! License should be revoked!!!
My father 94 has been in MainPlace Post Acute since 2019. My family feels extremely blessed that he has improved in so many ways. Dr. Suresh Veerramachanei is the best doctor my father has ever had. He is very committed to the wellbeing of his patients. There are some amazing staff members that have made a difference in my dad's life. Seeing my father smile is priceless.When I first visited Mainplace, I felt a positive energy throughout the facility. Little did I know how instrumental all the staff would be when Covid hit. The activity director, Nancy along with her awesome team did an amazing job keeping up the spirits of patients.In the past my dad was withdrawn and kept to himself the majority of his life. As time went by I noticed how my dads spirit was changing. Staff mentioned that my dad loved singing out loud through out the halls. The physical therapy director also mentioned how my dad was a workhorse and committed to his physical therapy. My dad also became very engaged with the activities at Mainplace; he was the only resident that sang during a talent show and volunteered to participate when asked. Nancy also assisted in making my dad's birthdays extra special. Seeing the happiness on my father's face was such a blessing. Beautiful inspirational themes filled with vibrant colors fill the halls at MainPlace. I always looked forward to all the celebrations. I really appreciated receiving pictures of dad having fun. Seeing these fun Instagram videos also lifted my spirit. When one loves their job and their mission, it is demonstrated through their work. The halls of Mainplace come alive with music, vibrant décor, creativity, and laughter for residents.
My youngest brother was recently admitted to Main Place. He is a handicapped man, who does not walk or speak. Needless to say the staff was amazing to him. It was made more difficult by the COVID restrictions and the nurses and aides did everything they could to make him feel more comfortable. I was able to facetime with him pretty much daily, and if there were any kind of problem they would call me right away. I was also so impressed by his attending doctors. He was there for 6 weeks and I was just so impressed by the whole staff, from the receptionist, case workers, aides, nurses & doctors. They made a very difficult situation easier.
Nice place and staff is quite good and polite. Have comforts that my Dad here been well care
When my mom was moved into MainPlace Post Acute Rehab, I had many calls from staff members letting me know the she arrived safely, was settling in and what was happening with her. I received regular updates on her condition and even was able to FaceTime with her. She has had some fantastic nurses: Kat, Ryan and Grace and many others. The outside of the facility is a little dismal and the parking is terrible, but I believe that the care is very good.
First, this is, in a positive way, not the old Fountain Care so don't compare. This is new management, new staff. My husband was admitted for a 5 day stay while I had a well needed caregiver break. The staff was responsive to his needs, idiosyncrasies, dietary desires. I give them 5 stars, even though not a perfect place, but really working hard to turn around the reputation.
This is by far one of the worst places to keep your loved one. To make matters worse they rarely answer the phone and when they do answer, you get the transfer shuffle only to be disconnected. They have very little compassion, of course not all, but most don't. Guantanamo is probably a better place to stay, and no joke. I'm currently looking for another place for my mother. It is a shame as it conveniently located, but I rather drives hours than have her there without being able to communicate. I have been trying to communicate with her for three days, and cannot see her due to covid restrictions. She is not able to pick up phone, so a nurse is needed to hand her the phone and they won't help. Horrible place.
I had a terrible experience with this facility. The staff were not attentive to my needs when called upon.
This center is reckless and dishonest. My loved one and I had a horrible experience
My family and I had the absolute worst experience with Main Place Post Acute.They are dishonest. The nurses are not experienced and no doctors. My loved one passed away and no one here knows why. They are disrespectful and careless.
Our parents arrived at Main Place over six years ago. It was difficult for us to take them out of their home. They do not speak English, but the staff was so welcoming and caring it made the transition easy. Many residents and staff do speak Spanish. CNAs, and nurses are very caring and attentive. They easily get attached to the patients. We get frequent communication regarding their care or needed changes. PT is regularly used to maintain health.The Activities Department goes above and beyond to provide fun and creative events for the residents. We feel very lucky to have our parents there. Parking can be a challenge, but the provide a free valet service.
I had the worst experience of my entire life with MainPlace Post Acute. They are very dishonest. Their own employees leave positive reviews for themselves. My father was neglected and sadly passed away in their care. He only needed PT and minor post acute care. None of this occurred. The staff is not trained well and party in their courtyard.
My grandmother stayed here and the facility was very clean and the service/staff was excellent. Highly recommended and would not hesitate to have another family member stay at MainPlace.
A relative of mine stayed here and received the nest care possible. The facility was very clean and the stag was very friendly and respectful. I would recommend this place to anyone.
The staff here are nice and very knowledgable!
Dangerous center
Family members and I had an awful experience at MainPlace Post Acute. The staff are poorly trained in taking care of the elderly here. It is unfathomable that this facility is allowed to stay open. Please note that this is a genuine review and I advise anyone who currently has a loved-one here to rigorously question staff, and hold them accountable if they do not adhere to moral codes and health standards.
MainPlace, thank you for the great care for my family. I have never met such nice people, great nurses and staff!!! Highly recommended.
ZERO stars. This dump let my dear aunt die alone! From the front desk person who said she would give her the items we were bringing for her to the help that left her alone and neglected! We had a horrible time with these people. We were listening to their lies and ultimately when she did die we realized what a farce this place really was. They lied about everything and put her in hospice and left her to die. We kept asking for help and when they said they would call the doctor they lied. None was ever called because they decided she was not worth helping. We couldnt do anything!!! We will forever regret letting her be admitted here.
I live out of state and my father was admitted after a fall at home. He is 86, hard of hearing but as sharp as a tack. He spent three months at Main Place. I was told he tested positive for Covid after he was there about a week. He has none of the known after effects like no taste or smell. My father, I was told was doing better. The last two weeks there I began to get reports of his declining health. I was told he could no longer swallow after they sent him out for tests. My father doesn't want life saving medical procedures so I told them no surgery or feeding tubes. They said they would start IVs with fluids and nutrients.His Doctor during his stay was Dr. Edna Biddy. They recommend Hospice as I was told he would live at most another two weeks without food. They offered to do the Hospice. I knew my dad wanted to be home do I had him moved home for Hospice. I fully expected to fly down to be with my dad as he passes away. When I arrived at his home what I found was infuriating. On his first morning home he ate two scrambled eggs and had turkey pot pie for dinner. I arrived the next day because his room mates told me he looked very bad and they thought he would pass sooner than two weeks. Ifixed him breakfast and he ate two scrambled eggs,, 3 sausage, 1.5 cups of coffee and hash browns. Lunch of cottage cheese and a yogurt. Had a waffle for a snack and Chocolate Mousse for dessert. He has been eating and drinking really good since then. His color is better and he is happy. He has a hard time communicating sometimes because of some previous strokes. His mind is still very sharp and he is very aware of what is going on around him. During his later stay they told me he had dementia. He in no way has dementia or any memory loss. You just need to take the time to understand him. My dad has always been strong willed and knows exactly what he wants. My dad hast told us about hearing the nurses say they were going to stop feeding him and let him die and he said there was one nurse that was very mean to him. My dad is improving and starting to put on weight again. He lost 30 pounds at Main Place. I firmly believe that if I had left my dad in their care he would be dead. I am outraged that because of my being out of state they did not take my father's care seriously. No one should ever go through that. They took his dignity and almost took his life. I will be following up with letters to administer and report everything to the State Board of Certification. I plane to report on his Doctor also. I love my father and am do glad I transfered him home for care. I plan to have him tested again for Covid and if he is negative I will report them to the State for fraudulent reports to get State funds. Please do not trust them with your loved ones. I was seriously mislead as to my father's physical and mental health. I feel I was lied to and it almost cost me my father.
Stay clear of this place. Bad people. Mess you up.
I was a patient at Main Place Post Acute in Orange, CA. They are dangerous and negligent. They deserve zero stars and to be shut down. Their employees leave positive reviews for themselves on Yelp and Google. It's not from real patients.Dr. Biddy tried to give me someone else's medication, which is very dangerous. She doesn't pay attention.I also witnessed a lot of elder neglect with dementia patients!I didn't appreciate how they treated their dementia patiences and anyone who couldn't stick up for themselves, for that matter.I witnessed staff members throwing parties for themselves and feeding themselves while leaving patience in their rooms calling out for water and help. It was really horrible to witness. Not to mention their parties had zero social distancing among all their hugging with each other.When I spoke up about helping those dementia patients, a women named Elisa or Lisa told me to "let the staff have a break." Have a break? These people need medical attention and water, and the staff rather have a party?!If it was their loved ones then they would give them water, but they're not so they don't care.Main Place Post Acute is owned by EnSign Group. Google "EnSign Group Lawsuits" they are always being sued for wrongful deaths and neglect. They also hide under the name Fountain Care Center.If you can't speak up for yourself or if the nurses don't like you (which was my case), then they will leave you for dead. They will lie to your family. The nurses kept telling my wife I was doing great in my physical therapy class, which was untrue, because the class was rough and they kept trying to drug me for it. I told my wife I had to leave. She soon took me out when she saw my bed sores I sent her a photo of from a cellphone she had purchased for me.Furthermore, Dr. Edna Biddy is horrible. Dr. Biddy tried to give me another patients medication! She could have killed me! I have heard from a staff member that Dr Biddy has already killed people. Google Dr. Edna Biddy, she went to medical school in Tijuana!Sadly, as a patient there recovering from a fall, I have seen with my own eyes the horrible neglect and lies by the staff.I have witnessed people crying in the lobby over their deceased loved ones. Why don't they send the high-risk patients to a higher level of care instead of leaving them in this lower level of care? It is obvious the center wants to collect their insurance.Furthermore, Matt who is a physical therapist is very rough and rude, so is Jorge. They do not treat people with respect. Valeria at the front desk is cold and lied to my wife about me getting her gift. She probably stole it.Main Place Post Acute and their staff, Dr. Biddy, Elisa, Matt, Lisa/Elisa, Jorge, and more should be fired. How do the staff at a Rehab Nursing Center for physical therapy end up killing people? They will blame Covid for their incompetent work and greed for collecting insurance.As a patient there, I have seen with my own eyes the horrible neglect and lies by the staff.Please avoid this place.
Health and Fire Safety Deficiencies
The Center for Medicare and Medicaid report report health and fire safety deficiencies. Some of these deficiencies are more severe than others. The following table shows different levels of severity.
| Scope | |||
|---|---|---|---|
| Severity of Deficiency | Isolated | Pattern | Widespread |
| Immediate jeopardy to resident health or safety | J | K | L |
| Actual harm that is not immediate jeopardy | G | H | I |
| No actual harm with potential for more than minimal harm that is not immediate jeopardy | D | E | F |
| No actual harm with potential for minimal harm | A | B | C |
Fire Safety Deficiencies
| Survey Date | Correction Date | Letter | Category | Description |
|---|---|---|---|---|
| 2022-03-29 | 2022-04-28 | D | Emergency Preparedness Deficiencies | Establish policies and procedures for medical documentation. |
| 2022-03-29 | 2022-04-28 | D | Emergency Preparedness Deficiencies | Establish roles under a Waiver declared by secretary. |
| 2022-03-29 | 2022-04-28 | D | Emergency Preparedness Deficiencies | Provide emergency officials' contact information. |
| 2022-03-29 | 2022-04-28 | D | Emergency Preparedness Deficiencies | Establish staff and initial training requirements. |
| 2022-03-29 | 2022-04-28 | D | Construction Deficiencies | Use approved construction type or materials. |
| 2022-03-29 | 2022-04-28 | D | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2022-03-29 | 2022-04-28 | D | Smoke Deficiencies | Install corridor and hallway doors that block smoke. |
| 2022-03-29 | 2022-04-28 | D | Services Deficiencies | Have properly installed electrical wiring and gas equipment. |
| 2022-03-29 | 2022-04-28 | D | Miscellaneous Deficiencies | Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. |
| 2022-03-29 | 2022-04-28 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure proper usage of power strips and extension cords. |
| 2022-03-29 | 2022-04-28 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Have proper medical gas storage and administration areas. |
| 2019-06-14 | 2019-07-05 | D | Emergency Preparedness Deficiencies | Address patient/client population and determine types of services needed. |
| 2019-06-14 | 2019-07-05 | D | Emergency Preparedness Deficiencies | Conduct testing and exercise requirements. |
| 2019-06-14 | 2019-07-05 | D | Smoke Deficiencies | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2019-06-14 | 2019-07-05 | D | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2019-06-14 | 2019-07-05 | D | Smoke Deficiencies | Properly select, install, inspect, or maintain portable fire extinguishes. |
| 2019-06-14 | 2019-07-05 | E | Smoke Deficiencies | Install corridor and hallway doors that block smoke. |
| 2019-06-14 | 2019-07-05 | E | Smoke Deficiencies | Ensure smoke barriers are constructed to a 1 hour fire resistance rating. |
| 2019-06-14 | 2019-07-05 | D | Miscellaneous Deficiencies | Meet Health Care Facilities Code mechanical requirements. |
| 2019-06-14 | 2019-07-05 | F | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. |
| 2019-06-14 | 2019-07-05 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Have generator or other power source capable of supplying service within 10 seconds. |
| 2019-06-14 | 2019-07-05 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure proper usage of power strips and extension cords. |
| 2019-06-14 | 2019-07-05 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Have proper medical gas storage and administration areas. |
| 2018-07-11 | 2018-07-31 | C | Emergency Preparedness Deficiencies | Develop Emergency Preparedness policies and procedures. |
| 2018-07-11 | 2018-07-31 | C | Emergency Preparedness Deficiencies | Develop a communication plan. |
| 2018-07-11 | 2018-07-31 | C | Emergency Preparedness Deficiencies | Establish emergency prep training and testing. |
| 2018-07-11 | 2018-07-31 | D | Smoke Deficiencies | Provide properly protected cooking facilities. |
| 2018-07-11 | 2018-07-31 | D | Smoke Deficiencies | Have approved installation, maintenance and testing program for fire alarm systems. |
| 2018-07-11 | 2018-07-31 | D | Smoke Deficiencies | Properly provide smoke detection systems in areas open to corridors. |
| 2018-07-11 | 2018-07-31 | D | Smoke Deficiencies | Inspect, test, and maintain automatic sprinkler systems. |
| 2018-07-11 | 2018-07-31 | D | Smoke Deficiencies | Install corridor and hallway doors that block smoke. |
| 2018-07-11 | 2018-07-31 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Have generator or other power source capable of supplying service within 10 seconds. |
| 2018-07-11 | 2018-07-31 | D | Gas, Vacuum, and Electrical Systems Deficiencies | Ensure proper usage of power strips and extension cords. |
Health Safety Deficiencies
| Survey Date | Correction Date | Letter | Category | Description |
|---|---|---|---|---|
| 2022-02-08 | B | B | Resident Rights Deficiencies | Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. |
| 2022-02-04 | D | D | Resident Rights Deficiencies | Give residents a notice of rights, rules, services and charges. |
| 2021-12-28 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2021-12-28 | D | D | 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. |
| 2021-11-09 | D | D | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. |
| 2021-09-30 | D | D | Quality of Life and Care Deficiencies | Provide care and assistance to perform activities of daily living for any resident who is unable. |
| 2021-09-30 | D | D | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2021-09-07 | D | D | Resident Rights Deficiencies | Ensure that residents are fully informed and understand their health status, care and treatments. |
| 2021-07-22 | D | D | Resident Rights Deficiencies | Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. |
| 2021-07-22 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2022-03-25 | D | D | Resident Rights Deficiencies | 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. |
| 2022-03-25 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2022-03-25 | D | D | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. |
| 2022-03-25 | D | D | Nutrition and Dietary Deficiencies | Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. |
| 2022-03-25 | D | D | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2022-03-25 | D | D | Nutrition and Dietary Deficiencies | Have a policy regarding use and storage of foods brought to residents by family and other visitors. |
| 2022-03-25 | F | F | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
| 2022-03-25 | B | B | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. |
| 2022-03-25 | B | B | Environmental Deficiencies | Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. |
| 2020-08-27 | D | D | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
| 2021-06-17 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. |
| 2021-06-17 | D | D | Resident Rights Deficiencies | Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. |
| 2021-06-17 | D | D | Resident Rights Deficiencies | Prepare residents for a safe transfer or discharge from the nursing home. |
| 2021-06-02 | B | B | Resident Rights Deficiencies | 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. |
| 2021-05-17 | D | D | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2021-04-29 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2021-03-02 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2021-03-02 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2021-02-25 | B | B | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2021-02-24 | D | D | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2020-12-17 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2020-08-07 | D | D | Resident Rights Deficiencies | Allow resident to participate in the development and implementation of his or her person-centered plan of care. |
| 2020-08-07 | D | D | Resident Rights Deficiencies | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. |
| 2020-08-07 | D | D | Resident Rights Deficiencies | 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. |
| 2020-08-07 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. |
| 2020-08-07 | D | D | Quality of Life and Care Deficiencies | Provide appropriate foot care. |
| 2019-05-13 | E | E | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2019-05-13 | D | D | Resident Rights Deficiencies | Allow residents to self-administer drugs if determined clinically appropriate. |
| 2019-05-13 | D | D | Resident Rights Deficiencies | Reasonably accommodate the needs and preferences of each resident. |
| 2019-05-13 | D | D | Resident Rights Deficiencies | 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. |
| 2019-05-13 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. |
| 2019-05-13 | D | D | Resident Assessment and Care Planning Deficiencies | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Provide appropriate pressure ulcer care and prevent new ulcers from developing. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Provide for the safe, appropriate administration of IV fluids for a resident when needed. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Provide safe and appropriate respiratory care for a resident when needed. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Provide safe, appropriate pain management for a resident who requires such services. |
| 2019-05-13 | D | D | Quality of Life and Care Deficiencies | Provide safe, appropriate dialysis care/services for a resident who requires such services. |
| 2019-05-13 | D | D | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2019-05-13 | D | D | Pharmacy Service Deficiencies | 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. |
| 2019-05-13 | E | E | Nutrition and Dietary Deficiencies | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. |
| 2019-05-13 | B | B | Nutrition and Dietary Deficiencies | Dispose of garbage and refuse properly. |
| 2019-05-13 | F | F | 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. |
| 2019-05-13 | D | D | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
| 2020-03-02 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. |
| 2020-02-28 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2020-02-05 | D | D | Resident Rights Deficiencies | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. |
| 2020-02-05 | D | D | Freedom from Abuse, Neglect, and Exploitation Deficiencies | Respond appropriately to all alleged violations. |
| 2019-08-28 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2019-07-09 | D | D | Quality of Life and Care Deficiencies | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. |
| 2018-05-08 | E | E | Resident Rights Deficiencies | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. |
| 2018-05-08 | D | D | Resident Assessment and Care Planning Deficiencies | Ensure each resident receives an accurate assessment. |
| 2018-05-08 | D | D | Resident Assessment and Care Planning Deficiencies | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. |
| 2018-05-08 | D | D | Quality of Life and Care Deficiencies | Provide activities to meet all resident's needs. |
| 2018-05-08 | D | D | Quality of Life and Care Deficiencies | Provide appropriate treatment and care according to orders, resident’s preferences and goals. |
| 2018-05-08 | D | D | Pharmacy Service Deficiencies | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. |
| 2018-05-08 | D | D | Pharmacy Service Deficiencies | 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. |
| 2018-05-08 | D | D | Pharmacy Service Deficiencies | 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. |
| 2018-05-08 | D | D | Quality of Life and Care Deficiencies | Provide routine and 24-hour emergency dental care for each resident. |
| 2018-05-08 | D | D | Administration Deficiencies | 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. |
| 2018-05-08 | D | D | Infection Control Deficiencies | Provide and implement an infection prevention and control program. |
| 2018-05-08 | E | E | Infection Control Deficiencies | Implement a program that monitors antibiotic use. |
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