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Deficiency Records for Abbott Terrace Health Center
A list of the most recent deficiencies for Abbott Terrace Health 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 Abbott Terrace Health 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-22 | 2024-09-03 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Meet other general requirements. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-22 | 2024-08-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-23 | 2024-08-20 | 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 | 2024-05-22 | 2024-08-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-23 | 2024-07-31 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-23 | 2024-07-31 | 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 | 2024-05-23 | 2024-07-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-07-31 | 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 | 2024-05-23 | 2024-07-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-23 | 2024-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-07-31 | 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 | 2024-05-23 | 2024-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-07-31 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-05-23 | 2024-07-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-10-19 | 2023-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-12-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-11 | 2023-07-28 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-11 | 2023-07-28 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-05-11 | 2023-07-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-16 | 2023-05-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-16 | 2023-05-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-16 | 2023-05-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-07 | 2023-04-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-07 | 2023-04-03 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-01-04 | 2023-02-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-04 | 2023-02-25 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-20 | 2022-10-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-20 | 2022-10-29 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-20 | 2022-10-29 | Y |
| Report COVID19 data to residents and families. | Health | 2022-09-20 | 2022-10-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-04 | 2022-08-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-04 | 2022-08-22 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-12-16 | 2022-02-28 | 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 | 2021-12-16 | 2022-02-28 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-16 | 2022-02-28 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-12-16 | 2022-02-28 | 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 | 2021-12-16 | 2022-02-28 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-12-16 | 2022-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-16 | 2022-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2021-12-16 | 2022-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-16 | 2022-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-16 | 2022-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2022-02-28 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-16 | 2022-02-28 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-12-16 | 2022-02-28 | 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 | 2021-12-16 | 2022-02-28 | 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 | 2021-12-16 | 2022-02-28 | N |
| Provide or obtain dental services for each resident. | Health | 2021-12-16 | 2022-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-02-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-12-16 | 2022-02-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-16 | 2022-02-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-12-16 | 2022-02-28 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-01-21 | 2020-04-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-01-27 | 2020-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-27 | 2020-02-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-27 | 2020-02-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-27 | 2020-02-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-01-27 | 2020-02-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-27 | 2020-02-28 | N |
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