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Deficiency Records for Titusville Rehabilitation and Nursing Center
A list of the most recent deficiencies for Titusville 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 Titusville 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-07 | 2024-07-14 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-06-07 | 2024-07-14 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-07 | 2024-07-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-06-07 | 2024-07-14 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-06-07 | 2024-07-14 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-06-07 | 2024-07-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-06-07 | 2024-07-14 | N |
| Provide activities to meet all resident's needs. | Health | 2024-06-07 | 2024-07-14 | 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 | 2024-06-07 | 2024-07-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-06-07 | 2024-07-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-06-07 | 2024-07-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-07 | 2024-07-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-07 | 2024-07-14 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-04 | 2024-07-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-06-04 | 2024-07-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-16 | 2022-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-16 | 2022-07-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-06-16 | 2022-07-08 | 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 | 2021-01-06 | 2021-01-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-01-06 | 2021-01-31 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-01-06 | 2021-01-31 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-01-06 | 2021-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-01-06 | 2021-01-31 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-01-05 | 2021-01-31 | 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 | 2021-01-05 | 2021-01-31 | N |
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