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Deficiency Records for Coventry Court Health Center
A list of the most recent deficiencies for Coventry Court Health Center. 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 Coventry Court Health Center. 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-01 | 2024-08-23 | 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 | 2024-08-01 | 2024-08-23 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-01 | 2024-08-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-01 | 2024-08-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-01 | 2024-08-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-01 | 2024-08-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-08-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-01 | 2024-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-01 | 2024-08-23 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-08-01 | 2024-08-23 | 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 | 2024-08-01 | 2024-08-23 | 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 | 2024-08-01 | 2024-08-23 | 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 | 2024-08-01 | 2024-08-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-08-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-08-01 | 2024-08-23 | N |
| Dispose of garbage and refuse properly. | Health | 2024-08-01 | 2024-08-23 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-01 | 2024-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-01 | 2024-08-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-01 | 2024-08-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-01 | 2024-08-23 | N |
| Keep all essential equipment working safely. | Health | 2024-08-01 | 2024-08-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-01 | 2024-08-23 | Y |
| 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 | 2024-08-01 | 2024-08-23 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-07 | 2024-08-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-01-30 | 2024-02-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-15 | 2023-11-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-21 | 2023-10-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-21 | 2023-10-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-21 | 2023-09-15 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2023-07-21 | 2023-09-15 | 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 | 2023-07-21 | 2023-09-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-21 | 2023-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-21 | 2023-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-21 | 2023-09-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-07-21 | 2023-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-21 | 2023-09-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-07-21 | 2023-09-15 | 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 | 2023-07-21 | 2023-09-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-21 | 2023-09-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-07-21 | 2023-09-15 | 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 | 2023-07-21 | 2023-09-15 | 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 | 2023-07-21 | 2023-09-15 | 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 | 2023-07-21 | 2023-09-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-21 | 2023-09-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-09-15 | 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 | 2023-07-21 | 2023-09-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-31 | 2023-09-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-11 | 2023-08-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-05-25 | 2023-06-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-19 | 2023-05-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-14 | 2023-04-04 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-01-17 | 2023-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-13 | 2022-12-23 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-01-04 | 2022-03-03 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-02-03 | 2022-02-18 | Y |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-01 | 2021-07-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-06-01 | 2021-07-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-25 | 2021-06-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-25 | 2021-06-03 | 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 | 2021-05-25 | 2021-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-25 | 2021-06-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-25 | 2021-06-03 | N |
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