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Deficiency Records for The Rehabilitation Center of North Hills

A list of the most recent deficiencies for The Rehabilitation Center of North Hills. 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 The Rehabilitation Center of North Hills. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-07-11 2024-09-17 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-07-11 2024-09-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-11 2024-09-17 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 2024-07-11 2024-09-17 N
Provide and implement an infection prevention and control program. Health 2024-07-11 2024-09-17 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-07-11 2024-08-10 N
Keep residents' personal and medical records private and confidential. Health 2024-07-11 2024-08-10 N
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2024-07-11 2024-08-10 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2024-07-11 2024-08-10 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-11 2024-08-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-11 2024-08-10 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-07-11 2024-08-10 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-11 2024-08-10 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 2024-07-11 2024-08-10 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-07-11 2024-08-10 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-07-11 2024-08-10 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2024-07-15 2024-08-06 N
Install an approved automatic sprinkler system. Fire Safety 2024-07-15 2024-08-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2024-07-15 2024-08-06 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-04 2024-07-02 Y
Post nurse staffing information every day. Health 2024-06-04 2024-07-02 Y
Provide and implement an infection prevention and control program. Health 2024-06-04 2024-07-02 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-05-01 2024-05-23 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-05-01 2024-05-23 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2024-02-23 2024-03-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-23 2024-03-19 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-01-11 2024-02-10 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-11 2024-02-10 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-11 2024-02-10 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-01-11 2024-02-10 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-09-22 2023-10-15 Y
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 2023-09-22 2023-10-15 Y
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. Health 2023-09-22 2023-10-15 Y
Provide and implement an infection prevention and control program. Health 2023-08-25 2023-09-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-11 2023-09-04 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2023-05-11 2023-06-10 Y
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 2023-05-11 2023-06-10 Y
Provide appropriate foot care. Health 2023-05-11 2023-06-10 Y
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 2023-05-11 2023-06-10 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-11 2023-06-10 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-05-11 2023-06-10 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 2023-05-18 Y
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2023-04-19 2023-05-18 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-26 2023-05-11 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-07 2023-04-06 Y
Reasonably accommodate the needs and preferences of each resident. Health 2023-03-07 2023-04-06 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 2023-03-07 2023-04-06 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-07 2023-04-06 Y
Provide and implement an infection prevention and control program. Health 2023-01-14 2023-01-26 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-12-31 2023-01-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-31 2023-01-20 Y
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 2022-12-31 2023-01-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-06 2022-12-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-11-28 2022-12-15 Y
Provide and implement an infection prevention and control program. Health 2022-08-04 2022-08-15 Y
Provide and implement an infection prevention and control program. Health 2022-08-02 2022-08-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-03 2022-08-11 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-02-18 2022-06-02 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-02-18 2022-05-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-02-18 2022-05-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-02-18 2022-05-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-02-18 2022-05-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-02-18 2022-05-01 N
Provide and implement an infection prevention and control program. Health 2022-03-20 2022-03-30 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-02-18 2022-03-17 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 2022-02-18 2022-03-17 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-02-18 2022-03-17 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2022-02-18 2022-03-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-02-18 2022-03-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-18 2022-03-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-18 2022-03-17 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 2022-02-18 2022-03-17 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-02-18 2022-03-17 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-02-18 2022-03-17 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-02-18 2022-03-17 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 2022-02-18 2022-03-17 N
Provide and implement an infection prevention and control program. Health 2022-02-18 2022-03-17 N
Address patient/client population and determine types of services needed. Fire Safety 2022-02-23 2022-03-11 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2022-02-23 2022-03-11 N
Provide properly protected cooking facilities. Fire Safety 2022-02-23 2022-03-11 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-02-23 2022-03-11 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2022-02-23 2022-03-11 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2022-02-23 2022-03-11 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2022-02-23 2022-03-11 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-02-23 2022-03-11 N
Prepare residents for a safe transfer or discharge from the nursing home. Health 2021-12-26 2022-01-04 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2021-10-21 2021-10-25 Y
Provide and implement an infection prevention and control program. Health 2021-10-14 2021-10-25 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2019-12-03 2019-12-27 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-12-03 2019-12-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-12-03 2019-12-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-03 2019-12-27 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2019-12-03 2019-12-27 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 2019-12-03 2019-12-27 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 2019-12-03 2019-12-27 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 2019-12-03 2019-12-27 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 2019-12-03 2019-12-27 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2019-12-03 2019-12-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-12-03 2019-12-27 N
Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. Health 2019-12-03 2019-12-27 N
Provide and implement an infection prevention and control program. Health 2019-12-03 2019-12-27 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-11-25 2019-12-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-11-25 2019-12-25 N
Have proper medical gas storage and administration areas. Fire Safety 2019-11-25 2019-12-25 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-12-03 Not Fixed N

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