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Deficiency Records for Hewitt Health and Rehabilitation Center, Inc

A list of the most recent deficiencies for Hewitt Health and Rehabilitation Center, Inc. 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 Hewitt Health and Rehabilitation Center, Inc. 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 and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-15 2024-03-29 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-12-20 2023-12-22 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 2023-09-25 2023-11-23 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-09-25 2023-11-06 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-09-25 2023-11-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-09-25 2023-11-06 Y
Respond appropriately to all alleged violations. Health 2023-09-25 2023-11-06 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-25 2023-11-06 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-09-25 2023-11-06 Y
Keep residents' personal and medical records private and confidential. Health 2023-06-29 2023-08-13 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-06-29 2023-08-13 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-06-29 2023-08-13 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-01-24 2023-03-07 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-01-24 2023-03-07 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-01-24 2023-03-07 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-01-24 2023-03-07 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 2023-01-24 2023-03-07 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-01-24 2023-03-07 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 2023-01-24 2023-03-07 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-01-24 2023-03-07 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-01-24 2023-03-07 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 2023-01-24 2023-03-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-24 2023-03-07 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-01-24 2023-03-07 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-24 2023-03-07 N
Provide enough food/fluids to maintain a resident's health. Health 2023-01-24 2023-03-07 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 2023-01-24 2023-03-07 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 2023-01-24 2023-03-07 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 2023-01-24 2023-03-07 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-01-24 2023-03-07 N
Provide and implement an infection prevention and control program. Health 2023-01-24 2023-03-07 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-01-24 2023-03-07 N
Put firmly secured handrails on each side of hallways. Health 2023-01-24 2023-03-07 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 2023-01-24 2023-03-07 Y
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2023-01-09 2023-02-22 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-09 2023-02-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-01-09 2023-02-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-09 2023-02-22 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2020-02-21 2020-04-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-02-21 2020-04-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-02-21 2020-04-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-02-21 2020-04-02 N
Provide enough food/fluids to maintain a resident's health. Health 2020-02-21 2020-04-02 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 2020-02-21 2020-04-02 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2020-02-21 2020-04-02 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-02-21 2020-04-02 N
Ensure medication error rates are not 5 percent or greater. Health 2020-02-21 2020-04-02 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 2020-02-21 2020-04-02 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 2020-02-19 2020-03-06 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2019-01-02 2019-03-29 N
Meet other general requirements that are deficient. Fire Safety 2019-01-02 2019-03-29 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-01-02 2019-03-29 N
Establish methods for sharing information. Fire Safety 2019-01-02 2019-02-26 N
Conduct testing and exercise requirements. Fire Safety 2019-01-02 2019-02-26 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2019-01-02 2019-02-26 N
Have an enclosure around a vertical opening shaft. Fire Safety 2019-01-02 2019-02-26 N
Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. Fire Safety 2019-01-02 2019-02-26 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2019-01-02 2019-02-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-01-08 2019-02-19 N
Reasonably accommodate the needs and preferences of each resident. Health 2019-01-08 2019-02-19 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-01-08 2019-02-19 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2019-01-08 2019-02-19 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-01-08 2019-02-19 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-01-08 2019-02-19 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 2019-01-08 2019-02-19 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 2019-01-08 2019-02-19 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2019-01-08 2019-02-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-01-08 2019-02-19 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-01-08 2019-02-19 N
Provide and implement an infection prevention and control program. Health 2019-01-08 2019-02-19 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2019-01-08 2019-02-19 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-01-08 2019-02-06 N

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