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Deficiency Records for Doctors Nursing and Rehab Center
A list of the most recent deficiencies for Doctors Nursing and Rehab 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 Doctors Nursing and Rehab 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? |
|---|---|---|---|---|
| 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 | 2024-06-28 | 2024-07-22 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-06-28 | 2024-07-22 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-14 | 2024-03-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-26 | 2024-03-05 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-14 | 2024-02-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-26 | 2024-02-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-13 | 2024-01-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-25 | 2023-09-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-25 | 2023-09-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-25 | 2023-09-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-17 | 2023-07-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-16 | 2023-02-24 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-28 | 2023-01-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-28 | 2023-01-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-28 | 2023-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-28 | 2023-01-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-28 | 2023-01-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-28 | 2023-01-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-28 | 2023-01-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-28 | 2023-01-18 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-28 | 2023-01-18 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-28 | 2023-01-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-28 | 2023-01-18 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-12-16 | 2022-12-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-16 | 2022-12-26 | 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 | 2022-12-16 | 2022-12-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-16 | 2022-12-26 | N |
| 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 | 2022-05-05 | 2022-05-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-05 | 2022-05-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-10 | 2022-04-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-10 | 2022-04-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-10 | 2022-04-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-10 | 2022-04-08 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-10 | 2022-04-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-10 | 2022-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-10 | 2022-04-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-10 | 2022-04-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-11 | 2022-02-02 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-01-11 | 2022-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-11 | 2022-01-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-01-11 | 2022-01-27 | 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 | 2022-01-11 | 2022-01-27 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-11 | 2022-01-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-01-11 | 2022-01-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-11 | 2022-01-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-11 | 2022-01-27 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-01-05 | 2022-01-27 | N |
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