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Deficiency Records for Northgate Postacute Care

A list of the most recent deficiencies for Northgate Postacute Care. 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 Northgate Postacute Care. 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?
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-06-19 2024-07-05 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2024-06-19 2024-07-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-12-14 2023-12-15 Y
Ensure that the resident and his/her doctor meet face-to-face at all required visits. Health 2023-12-14 2023-12-15 Y
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-09-29 2023-11-24 Y
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-09-29 2023-11-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-09-29 2023-10-27 Y
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-09-29 2023-10-27 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-09-29 2023-10-27 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 2023-09-29 2023-10-27 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-09-29 2023-10-27 Y
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-09-29 2023-10-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-13 2023-07-20 Y
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-06-13 2023-07-20 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-05-25 2023-07-13 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-05-25 2023-07-13 Y
Let each resident or the resident's legal representative access or purchase copies of all the resident's records. Health 2022-03-14 2022-04-25 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-12-10 2022-02-28 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2021-12-10 2022-02-28 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 2021-09-24 2021-11-24 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2021-09-24 2021-11-24 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-09-24 2021-11-24 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-09-24 2021-11-24 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2021-09-24 2021-11-24 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-09-24 2021-11-24 N
Ensure medication error rates are not 5 percent or greater. Health 2021-09-24 2021-11-24 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2021-09-24 2021-11-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-24 2021-11-24 N
Provide and implement an infection prevention and control program. Health 2021-09-24 2021-11-24 N
Perform COVID19 testing on residents and staff. Health 2021-09-24 2021-11-24 N
Keep all essential equipment working safely. Health 2021-09-24 2021-11-24 N
Provide emergency officials' contact information. Fire Safety 2021-09-29 2021-10-14 N
Provide primary/alternate means for communication. Fire Safety 2021-09-29 2021-10-14 N
Use approved construction type or materials. Fire Safety 2021-09-29 2021-10-14 N
Have an alternate power supply for its alarm system. Fire Safety 2021-09-29 2021-10-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-09-29 2021-10-14 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-09-29 2021-10-14 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-02-03 2020-10-13 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2020-02-03 2020-10-13 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2020-02-03 2020-10-13 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2020-02-03 2020-10-13 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-02-03 2020-10-13 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2020-02-03 2020-10-13 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-02-03 2020-10-13 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-02-03 2020-10-13 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2020-02-03 2020-10-13 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 2020-02-03 2020-10-13 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2020-02-03 2020-10-13 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 2020-02-03 2020-10-13 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-02-03 2020-10-13 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-03 2020-10-13 N
Dispose of garbage and refuse properly. Health 2020-02-03 2020-10-13 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-02-03 2020-10-13 N
Provide and implement an infection prevention and control program. Health 2020-02-03 2020-10-13 N
Provide primary/alternate means for communication. Fire Safety 2020-02-19 2020-03-25 N
Establish staff and initial training requirements. Fire Safety 2020-02-19 2020-03-25 N
Provide properly protected cooking facilities. Fire Safety 2020-02-19 2020-03-25 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2020-02-19 2020-03-25 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-02-19 2020-03-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-19 2020-03-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-19 2020-03-25 N
Have proper medical gas storage and administration areas. Fire Safety 2020-02-19 2020-03-25 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2020-02-19 2020-03-25 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-12-20 2019-05-07 N
Provide primary/alternate means for communication. Fire Safety 2019-04-03 2019-04-23 N
Establish staff and initial training requirements. Fire Safety 2019-04-03 2019-04-23 N
Conduct testing and exercise requirements. Fire Safety 2019-04-03 2019-04-23 N
Use approved construction type or materials. Fire Safety 2019-04-03 2019-04-23 N
Have properly located and lighted "Exit" signs. Fire Safety 2019-04-03 2019-04-23 N
Provide properly protected cooking facilities. Fire Safety 2019-04-03 2019-04-23 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-04-03 2019-04-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-04-03 2019-04-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-04-03 2019-04-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-04-03 2019-04-23 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2018-12-20 2019-03-14 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 2018-12-20 2019-03-14 N
Ensure each resident receives an accurate assessment. Health 2018-12-20 2019-03-14 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2018-12-20 2019-03-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-12-20 2019-03-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-12-20 2019-03-14 N
Provide activities to meet all resident's needs. Health 2018-12-20 2019-03-14 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 2018-12-20 2019-03-14 N
Provide or obtain dental services for each resident. Health 2018-12-20 2019-03-14 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2018-12-20 2019-03-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-12-20 2019-03-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-12-20 2019-03-14 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2018-12-20 2019-03-14 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2018-12-20 2019-03-14 N
Provide and implement an infection prevention and control program. Health 2018-12-20 2019-03-14 N
Implement a program that monitors antibiotic use. Health 2018-12-20 2019-03-14 N

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