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Deficiency Records for Red Cliffs Post Acute
A list of the most recent deficiencies for Red Cliffs Post Acute. 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 Red Cliffs Post Acute. 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 a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2024-01-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-26 | 2024-01-10 | Y |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-26 | 2023-12-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-26 | 2023-12-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-26 | 2023-12-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-10-26 | 2023-12-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-10-26 | 2023-12-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-26 | 2023-12-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-10-26 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-26 | 2023-12-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-10-26 | 2023-12-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-26 | 2023-12-08 | Y |
| 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 | 2023-11-17 | 2023-12-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-17 | 2023-12-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-17 | 2023-06-20 | 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 | 2022-10-06 | 2022-11-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-06 | 2022-11-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-06 | 2022-11-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-10 | 2022-10-27 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-10 | 2022-09-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-10 | 2022-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-28 | 2022-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-28 | 2022-09-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-07-28 | 2022-09-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-28 | 2022-08-28 | N |
| Provide activities to meet all resident's needs. | Health | 2022-07-28 | 2022-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-28 | 2022-08-28 | 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 | 2022-07-28 | 2022-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-28 | 2022-08-28 | 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 | 2022-07-28 | 2022-08-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-28 | 2022-08-28 | 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 | 2022-07-28 | 2022-08-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-28 | 2022-08-28 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-28 | 2022-08-28 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-28 | 2022-08-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-15 | 2022-07-07 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-06-15 | 2022-07-07 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2022-06-15 | 2022-07-07 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-15 | 2022-07-07 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-05-12 | 2022-06-17 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-12 | 2022-06-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-21 | 2021-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-21 | 2021-07-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-21 | 2021-06-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-27 | 2021-06-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-04-27 | 2021-06-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-04-27 | 2021-06-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-27 | 2021-06-08 | N |
| Respond appropriately to all alleged violations. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-27 | 2021-06-08 | 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 | 2021-04-27 | 2021-06-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-04-27 | 2021-06-08 | 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 | 2021-04-27 | 2021-06-08 | 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 | 2021-04-27 | 2021-06-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-27 | 2021-06-08 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-04-27 | 2021-06-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-21 | 2021-06-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-21 | 2021-06-02 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-05-21 | 2021-06-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-05-21 | 2021-06-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-21 | 2021-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-27 | 2021-05-18 | N |
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