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Deficiency Records for Colonel Glenn Health and Rehab, LLC
A list of the most recent deficiencies for Colonel Glenn Health and Rehab, LLC. 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 Colonel Glenn Health and Rehab, 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? |
|---|---|---|---|---|
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-13 | 2024-03-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-13 | 2024-03-13 | 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 | 2024-02-16 | 2024-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-16 | 2024-03-08 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2024-02-16 | 2024-03-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-16 | 2024-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-16 | 2024-03-08 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-02-16 | 2024-03-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-02-16 | 2024-03-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-28 | 2024-01-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-28 | 2024-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-18 | 2023-11-02 | Y |
| 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 | 2023-10-18 | 2023-11-02 | Y |
| Assess the resident when there is a significant change in condition | Health | 2022-12-22 | 2023-01-07 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-22 | 2023-01-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-22 | 2023-01-07 | 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 | 2022-12-22 | 2023-01-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-22 | 2023-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-22 | 2023-01-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2022-12-22 | 2023-01-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-12-22 | 2023-01-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-22 | 2023-01-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-12-22 | 2023-01-07 | 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 | 2022-12-22 | 2023-01-07 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-12-22 | 2023-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-22 | 2023-01-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-17 | 2022-09-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-17 | 2022-09-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-17 | 2022-09-01 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2021-12-06 | 2022-01-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-12-06 | 2022-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-06 | 2022-01-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-08 | 2022-01-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-08 | 2022-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2022-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-08 | 2022-01-04 | 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 | 2021-12-08 | 2022-01-04 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-12-08 | 2022-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-08 | 2022-01-04 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-06 | 2022-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-12-06 | 2022-01-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-12-06 | 2022-01-04 | N |
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