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Deficiency Records for Piper City Rehab and Living Ctr
A list of the most recent deficiencies for Piper City Rehab and Living Ctr. 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 Piper City Rehab and Living Ctr. 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? |
|---|---|---|---|---|
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-09-24 | 2024-10-07 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-16 | 2024-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-19 | 2024-08-30 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-19 | 2024-08-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-19 | 2024-08-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-19 | 2024-08-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-07-19 | 2024-08-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-07-19 | 2024-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-19 | 2024-08-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-16 | 2024-08-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-16 | 2024-08-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-16 | 2024-08-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-16 | 2024-08-02 | 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 | 2024-07-16 | 2024-08-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-16 | 2024-08-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-16 | 2024-08-02 | 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 | 2024-07-16 | 2024-08-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-16 | 2024-08-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-16 | 2024-08-02 | 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 | 2024-07-16 | 2024-08-02 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-16 | 2024-08-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-16 | 2024-08-02 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-16 | 2024-08-02 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-16 | 2024-08-02 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Develop a communication plan. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-19 | 2024-08-02 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2024-07-19 | 2024-08-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-27 | 2023-10-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-16 | 2023-10-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-16 | 2023-10-05 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-08-16 | 2023-10-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-16 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-16 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-16 | 2023-09-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-09-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-16 | 2023-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-16 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-16 | 2023-09-15 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-16 | 2023-09-15 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-08-16 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-16 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-16 | 2023-09-15 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-08-16 | 2023-09-15 | 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 | 2023-08-16 | 2023-09-15 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-14 | 2023-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-28 | 2023-08-08 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-28 | 2023-08-08 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-07-28 | 2023-08-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-07-12 | 2023-07-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-12 | 2023-07-31 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-07-12 | 2023-07-31 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-07-12 | 2023-07-30 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-12 | 2023-07-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-12 | 2023-07-25 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-01 | 2023-06-01 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-01 | 2023-06-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-01 | 2023-06-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-01 | 2023-06-01 | Y |
| 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 | 2023-06-01 | 2023-06-01 | Y |
| 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 | 2023-05-04 | 2023-05-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-04 | 2023-05-19 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-05-04 | 2023-05-19 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-05-04 | 2023-05-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-04 | 2023-05-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-04 | 2023-05-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-04 | 2023-05-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-04 | 2023-05-18 | Y |
| Establish methods for sharing information. | Fire Safety | 2022-10-11 | 2022-10-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-10-11 | 2022-10-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-11 | 2022-10-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-11 | 2022-10-25 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-11 | 2022-10-25 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2022-09-29 | 2022-10-04 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-29 | 2022-10-04 | N |
| Dispose of garbage and refuse properly. | Health | 2022-09-29 | 2022-10-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-29 | 2022-09-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-29 | 2022-09-29 | 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 | 2022-09-29 | 2022-09-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-29 | 2022-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-29 | 2022-09-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-05-18 | 2022-06-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-18 | 2022-06-02 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-18 | 2022-06-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-05-18 | 2022-06-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-22 | 2022-04-09 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-03-22 | 2022-03-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-22 | 2022-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-14 | 2022-02-22 | Y |
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