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Deficiency Records for Guardian Care and Rehabilitation Center
A list of the most recent deficiencies for Guardian Care and Rehabilitation 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 Guardian Care and Rehabilitation 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 nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-19 | 2024-09-19 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-19 | 2024-08-19 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-19 | 2024-08-19 | N |
| 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. | Health | 2024-07-19 | 2024-08-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide activities to meet all resident's needs. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-08-19 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-19 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-07-19 | 2024-08-19 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-22 | 2024-08-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-07-22 | 2024-08-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-22 | 2024-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-22 | 2024-08-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-07-22 | 2024-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-22 | 2024-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-22 | 2024-08-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-27 | 2024-03-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-08 | 2023-10-04 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-27 | 2023-08-27 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-27 | 2023-08-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-07-27 | 2023-08-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-27 | 2023-08-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-27 | 2023-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-27 | 2023-08-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-27 | 2023-08-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-27 | 2023-08-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-27 | 2023-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-27 | 2023-08-27 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-07-27 | 2023-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-27 | 2023-08-27 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Use approved construction type or materials. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-31 | 2023-08-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-04 | 2023-04-20 | 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 | 2023-04-04 | 2023-04-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-08 | 2023-02-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-18 | 2022-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-29 | 2022-10-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-14 | 2022-09-29 | Y |
| 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 | 2022-09-08 | 2022-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-05 | 2022-09-05 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-12-05 | 2019-12-23 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-05 | 2019-12-23 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-12-05 | 2019-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-12-05 | 2019-12-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-05 | 2019-12-23 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-08 | 2019-12-11 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-11-08 | 2019-12-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-08 | 2019-12-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-08 | 2019-12-11 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-08 | 2019-12-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-08 | 2019-12-11 | 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 | 2019-11-08 | 2019-12-11 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-11-08 | 2019-12-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-08 | 2019-12-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-11-08 | 2019-12-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-08 | 2019-12-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-08 | 2019-12-11 | 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 | 2019-11-08 | 2019-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-08 | 2019-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-08 | 2019-12-11 | N |
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