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Deficiency Records for Pelican Pointe Health and Rehabilitation Center

A list of the most recent deficiencies for Pelican Pointe Health 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 Pelican Pointe Health 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?
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-10 2024-06-12 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-10 2024-06-11 Y
Provide and implement an infection prevention and control program. Health 2024-06-10 2024-06-11 Y
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-12-27 2024-01-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-12-27 2024-01-12 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-12-11 2023-12-29 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-11 2023-12-29 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-11 2023-12-29 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2023-12-11 2023-12-29 N
Provide enough food/fluids to maintain a resident's health. Health 2023-12-11 2023-12-29 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-12-11 2023-12-29 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 2023-12-11 2023-12-29 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-12-11 2023-12-29 N
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. Health 2023-12-11 2023-12-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-12-11 2023-12-29 N
Provide and implement an infection prevention and control program. Health 2023-12-11 2023-12-29 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-12-11 2023-12-29 N
Keep all essential equipment working safely. Health 2023-12-11 2023-12-29 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2023-12-11 2023-12-29 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-12-11 2023-12-29 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-12-11 2023-12-29 N
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 2023-12-11 2023-12-29 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-12-11 2023-12-29 N
Develop a communication plan. Fire Safety 2023-12-11 2023-12-29 N
Establish emergency prep training and testing. Fire Safety 2023-12-11 2023-12-29 N
Establish staff and initial training requirements. Fire Safety 2023-12-11 2023-12-29 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 2023-08-07 2023-08-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-07 2023-08-08 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-25 2022-09-28 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 2022-08-25 2022-09-28 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-08-25 2022-09-28 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 2022-08-25 2022-09-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-08-25 2022-09-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-25 2022-09-28 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-08-25 2022-09-28 Y
Ensure that residents are free from significant medication errors. Health 2022-08-25 2022-09-28 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-02-22 2022-04-29 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2022-02-22 2022-04-29 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-02-22 2022-03-24 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-02-22 2022-03-22 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-02-22 2022-03-22 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-22 2022-03-22 Y
Provide and implement an infection prevention and control program. Health 2022-02-22 2022-03-19 Y
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-07-13 2021-07-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-06-15 2021-07-22 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-06-15 2021-07-22 N
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 2021-06-15 2021-07-22 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-06-15 2021-07-22 N
Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). Health 2021-06-15 2021-07-22 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-06-15 2021-07-22 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2021-06-15 2021-07-22 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 2021-06-15 2021-07-22 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-06-15 2021-07-22 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 2021-06-15 2021-07-22 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2021-06-15 2021-07-22 N
Dispose of garbage and refuse properly. Health 2021-06-15 2021-07-22 N
Provide and implement an infection prevention and control program. Health 2021-06-15 2021-07-22 N
Establish staff and initial training requirements. Fire Safety 2021-06-15 2021-07-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-07-13 2021-07-21 N

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