CONTACT INFORMATION REVIEWS & MORE DATA
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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