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Deficiency Records for Discovery Rehabilitation and Living

A list of the most recent deficiencies for Discovery Rehabilitation and Living. 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 Discovery Rehabilitation and Living. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Health 2024-09-13 2024-10-18 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 2024-09-13 2024-10-18 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2024-09-13 2024-10-18 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-09-13 2024-10-18 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 2024-09-13 2024-10-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-09-13 2024-10-18 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-09-13 2024-10-18 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 2024-09-13 2024-10-18 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-09-13 2024-10-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-09-13 2024-10-18 N
Provide and implement an infection prevention and control program. Health 2024-09-13 2024-10-18 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2024-09-13 2024-10-18 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-09-13 2024-10-18 N
List the names and contact information of those in the facility. Fire Safety 2023-11-30 2024-01-05 N
Provide emergency officials' contact information. Fire Safety 2023-11-30 2024-01-05 N
Conduct testing and exercise requirements. Fire Safety 2023-11-30 2024-01-05 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-11-30 2024-01-05 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-08-24 2023-09-28 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 2023-08-24 2023-09-28 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-08-24 2023-09-28 Y
Assess the resident when there is a significant change in condition Health 2023-08-24 2023-09-28 Y
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-08-24 2023-09-28 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 2023-08-24 2023-09-28 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-24 2023-09-28 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-24 2023-09-28 Y
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 2023-08-24 2023-09-28 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-24 2023-09-28 Y
Post nurse staffing information every day. Health 2023-08-24 2023-09-28 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-08-24 2023-09-28 Y
Ensure medication error rates are not 5 percent or greater. Health 2023-08-24 2023-09-28 Y
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 2023-08-24 2023-09-28 Y
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-08-24 2023-09-28 Y
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 2023-08-24 2023-09-28 Y
Provide and implement an infection prevention and control program. Health 2023-08-24 2023-09-28 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2018-11-30 2019-01-11 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2018-11-30 2019-01-11 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 2018-11-30 2019-01-11 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2018-11-30 2019-01-11 N
Ensure each resident receives an accurate assessment. Health 2018-11-30 2019-01-11 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-11-30 2019-01-11 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 2018-11-30 2019-01-11 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 2018-11-30 2019-01-11 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-11-30 2019-01-11 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-11-30 2019-01-11 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2018-11-30 2019-01-11 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2018-11-30 2019-01-11 N
Provide and implement an infection prevention and control program. Health 2018-11-30 2019-01-11 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2018-11-30 2019-01-11 N
Address patient/client population and determine types of services needed. Fire Safety 2018-08-22 2018-11-16 N
Address subsistence needs for staff and patients. Fire Safety 2018-08-22 2018-11-16 N
List the names and contact information of those in the facility. Fire Safety 2018-08-22 2018-11-16 N
Provide emergency officials' contact information. Fire Safety 2018-08-22 2018-11-16 N
Conduct testing and exercise requirements. Fire Safety 2018-08-22 2018-11-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-08-22 2018-11-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-08-22 2018-11-16 N

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