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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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