MISSION PALMS HEALTHCARE CENTER
CMS
Actual Harm
Documentation Failure
Infection Control
Medication Error
Nutrition Care
Resident Neglect
Wound Care
Penalty
$13,923
Outcome
MISSION PALMS HEALTHCARE CENTER in WESTMINSTER, CA was fined $13,923 by CMS following 39 deficiency citations identified during federal surveys.
Details
MISSION PALMS HEALTHCARE CENTER (WESTMINSTER, CA) — $13,923 in CMS Fines
Outcome: MISSION PALMS HEALTHCARE CENTER in WESTMINSTER, CA was fined $13,923 by CMS following 39 deficiency citations identified during federal surveys.
Deficiency areas cited:
- Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
- Allow residents to self-administer drugs if determined clinically appropriate.
- Provide appropriate treatment and care according to orders, resident’s preferences and goals.
- Provide enough food/fluids to maintain a resident's health.
- Provide safe and appropriate respiratory care for a resident when needed.
- Ensure each resident’s drug regimen must be free from unnecessary drugs.
- 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.
- 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.
How Crucible Prevents This
Crucible's continuous compliance monitoring would have flagged the regulatory gaps that led to these CMS fines — through automated survey-readiness checks, real-time deficiency tracking, staff compliance dashboards, and corrective action plan enforcement — preventing the violations before the next federal survey.
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