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Deficiency Records for Loft Rehab and Nursing of Normal
A list of the most recent deficiencies for Loft Rehab and Nursing of Normal. 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 Loft Rehab and Nursing of Normal. 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 | 2024-08-16 | 2024-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-24 | 2024-07-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-27 | 2023-10-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-27 | 2023-10-25 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-27 | 2023-10-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-09-27 | 2023-10-25 | 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 | 2023-09-27 | 2023-10-25 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-27 | 2023-10-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-27 | 2023-10-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-27 | 2023-10-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-27 | 2023-10-25 | 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 | 2023-09-27 | 2023-10-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-27 | 2023-10-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-27 | 2023-10-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-27 | 2023-10-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-27 | 2023-10-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-27 | 2023-10-25 | 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 | 2023-09-27 | 2023-10-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-27 | 2023-10-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-09-27 | 2023-10-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-27 | 2023-10-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-27 | 2023-10-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-27 | 2023-10-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-09-27 | 2023-10-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-27 | 2023-10-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-09-27 | 2023-10-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-09-27 | 2023-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-20 | 2023-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-20 | 2023-10-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-20 | 2023-10-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-20 | 2023-10-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-20 | 2023-10-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-09-20 | 2023-10-16 | N |
| Develop a communication plan. | Fire Safety | 2023-09-20 | 2023-10-16 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-09-20 | 2023-10-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-20 | 2023-10-16 | 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 | 2023-09-20 | 2023-10-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-20 | 2023-10-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-20 | 2023-10-16 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-12 | 2023-05-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-12 | 2023-05-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-06 | 2023-03-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-16 | 2023-03-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-16 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-16 | 2023-03-21 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-28 | 2023-03-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-16 | 2023-03-06 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-16 | 2023-03-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2023-03-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-03-06 | 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 | 2022-12-16 | 2023-03-06 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-12-16 | 2023-03-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-16 | 2023-03-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-16 | 2023-03-06 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2022-12-16 | 2023-03-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-16 | 2023-01-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-12-16 | 2023-01-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-16 | 2023-01-25 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-16 | 2023-01-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-21 | 2023-01-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-21 | 2023-01-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-21 | 2023-01-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-21 | 2023-01-13 | 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 | 2022-12-21 | 2023-01-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-21 | 2023-01-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-21 | 2023-01-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-21 | 2023-01-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-21 | 2023-01-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-21 | 2023-01-13 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-18 | 2022-11-04 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-18 | 2022-11-04 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-10-18 | 2022-10-28 | Y |
| 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 | 2022-03-16 | 2022-05-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-16 | 2022-05-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-16 | 2022-05-19 | 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 | 2022-03-16 | 2022-05-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-03-16 | 2022-05-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-16 | 2022-05-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-16 | 2022-05-04 | 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 | 2022-03-16 | 2022-05-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-16 | 2022-05-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-16 | 2022-05-04 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-03-16 | 2022-05-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-16 | 2022-05-04 | N |
| Provide activities to meet all resident's needs. | Health | 2022-03-16 | 2022-05-04 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-03-16 | 2022-05-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-16 | 2022-05-04 | 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 | 2022-03-16 | 2022-05-04 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-16 | 2022-05-04 | 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 | 2022-03-16 | 2022-05-04 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-03-16 | 2022-05-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-16 | 2022-05-04 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-16 | 2022-05-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-03-16 | 2022-05-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-16 | 2022-05-04 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-04-05 | 2022-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-04-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-05 | 2022-04-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-04-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-28 | 2022-02-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-14 | 2022-01-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-14 | 2022-01-07 | Y |
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