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Deficiency Records for Ivy Court

A list of the most recent deficiencies for Ivy Court. 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 Ivy Court. 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?
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-09-26 2024-10-31 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-09-26 2024-10-31 N
Respond appropriately to all alleged violations. Health 2024-09-26 2024-10-31 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 2024-09-26 2024-10-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-09-26 2024-10-31 N
Provide appropriate foot care. Health 2024-09-26 2024-10-31 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 2024-09-26 2024-10-31 N
Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. Health 2024-09-26 2024-10-31 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-09-26 2024-10-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-26 2024-10-31 N
Provide at least one room set aside to use as a resident dining room and for activities, that is a good size, with good lighting, air flow and furniture. Health 2024-09-26 2024-10-31 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-09-26 2024-09-26 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-10-22 2022-01-17 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-22 2022-01-17 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-22 2022-01-17 N
Respond appropriately to all alleged violations. Health 2021-10-22 2022-01-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-22 2022-01-17 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-22 2022-01-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-22 2022-01-17 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2021-10-22 2022-01-17 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-10-22 2022-01-17 N
Provide and implement an infection prevention and control program. Health 2021-10-22 2022-01-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-10-22 2022-01-17 N
Conduct testing and exercise requirements. Fire Safety 2021-05-07 2021-08-16 N
Implement emergency and standby power systems. Fire Safety 2021-05-07 2021-08-16 N
Use approved construction type or materials. Fire Safety 2021-05-07 2021-08-16 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-05-07 2021-08-16 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2021-05-07 2021-08-16 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-05-07 2021-08-16 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 2021-05-07 2021-08-16 N
Provide properly protected cooking facilities. Fire Safety 2021-05-07 2021-08-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-05-07 2021-08-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-07 2021-08-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-05-07 2021-08-16 N
Provide properly sized and located linen or trash receptacles. Fire Safety 2021-05-07 2021-08-16 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-05-07 2021-08-16 N
Have proper medical gas storage and administration areas. Fire Safety 2021-05-07 2021-08-16 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2020-03-06 2020-04-29 N
Keep residents' personal and medical records private and confidential. Health 2020-03-06 2020-04-29 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2020-03-06 2020-04-29 N
Respond appropriately to all alleged violations. Health 2020-03-06 2020-04-29 N
Ensure each resident receives an accurate assessment. Health 2020-03-06 2020-04-29 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-03-06 2020-04-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-03-06 2020-04-29 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 2020-03-06 2020-04-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-03-06 2020-04-29 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 2020-03-06 2020-04-29 N
Post nurse staffing information every day. Health 2020-03-06 2020-04-29 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-03-06 2020-04-29 N
Ensure that residents are free from significant medication errors. Health 2020-03-06 2020-04-29 N
Provide routine and 24-hour emergency dental care for each resident. Health 2020-03-06 2020-04-29 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-03-06 2020-04-29 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2020-03-06 2020-04-29 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 2020-03-06 2020-04-29 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2020-03-06 2020-04-29 N
Provide and implement an infection prevention and control program. Health 2020-03-06 2020-04-29 N
Address patient/client population and determine types of services needed. Fire Safety 2020-02-25 2020-04-23 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2020-02-25 2020-04-23 N
Establish emergency prep training and testing. Fire Safety 2020-02-25 2020-04-23 N
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2020-02-25 2020-03-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-02-25 2020-03-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-25 2020-03-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-25 2020-03-10 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2020-02-25 2020-03-04 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-02-25 2020-02-27 N

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