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Deficiency Records for Pendleton Rehabilitation and Nursing Center

A list of the most recent deficiencies for Pendleton Rehabilitation and Nursing 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 Pendleton Rehabilitation and Nursing 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-11-29 2024-01-08 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-11-29 2024-01-08 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-02-16 2023-03-03 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-16 2023-03-03 Y
Provide and implement an infection prevention and control program. Health 2023-02-16 2023-03-03 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-11-28 2023-01-23 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-11-28 2023-01-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-11-28 2023-01-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-11-28 2023-01-23 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-12-01 2023-01-12 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-12-01 2023-01-12 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-12-01 2023-01-12 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-12-01 2023-01-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-01 2023-01-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-12-01 2023-01-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-01 2023-01-12 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 2022-12-01 2023-01-12 N
Post nurse staffing information every day. Health 2022-12-01 2023-01-12 N
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-12-01 2023-01-12 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 2022-12-01 2023-01-12 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 2022-12-01 2023-01-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-12-01 2023-01-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-01 2023-01-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-12-01 2023-01-12 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-17 2022-07-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-17 2022-07-14 Y
Respond appropriately to all alleged violations. Health 2022-06-17 2022-07-14 Y
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 2019-12-12 2020-01-23 N
Ensure each resident receives an accurate assessment. Health 2019-12-12 2020-01-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-12-12 2020-01-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2019-12-10 2020-01-10 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 2018-10-12 2018-11-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2018-10-12 2018-11-23 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2018-10-12 2018-11-23 N
Respond appropriately to all alleged violations. Health 2018-10-12 2018-11-23 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2018-10-12 2018-11-23 N
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2018-10-12 2018-11-23 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2018-10-12 2018-11-23 N
Provide care by qualified persons according to each resident's written plan of care. Health 2018-10-12 2018-11-23 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2018-10-12 2018-11-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-10-12 2018-11-23 N
Provide and implement an infection prevention and control program. Health 2018-10-12 2018-11-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2018-10-04 2018-11-15 N

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