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Deficiency Records for Charleston Rehab and Health Cc
A list of the most recent deficiencies for Charleston Rehab and Health Cc. 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 Charleston Rehab and Health Cc. 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? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-06 | 2024-10-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-09 | 2024-10-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-06 | 2024-10-09 | 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 | 2024-09-06 | 2024-10-09 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-09-06 | 2024-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-09-06 | 2024-10-09 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-06 | 2024-10-09 | 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 | 2024-09-06 | 2024-10-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-09-06 | 2024-10-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-09 | 2024-10-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-09-09 | 2024-10-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-09-09 | 2024-10-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-09-09 | 2024-10-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2024-09-09 | 2024-10-04 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-09-06 | 2024-10-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-09 | 2024-10-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-09-06 | 2024-10-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-06 | 2024-10-01 | N |
| Respond appropriately to all alleged violations. | Health | 2024-09-06 | 2024-10-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-09-06 | 2024-10-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-06 | 2024-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-06 | 2024-10-01 | 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 | 2024-09-06 | 2024-10-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-09-06 | 2024-10-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-09-09 | 2024-09-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-28 | 2024-07-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-28 | 2024-07-30 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-29 | 2024-03-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-29 | 2024-03-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-29 | 2024-03-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-21 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-21 | 2024-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-21 | 2024-01-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-21 | 2024-01-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-11-21 | 2024-01-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-11-21 | 2024-01-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-21 | 2024-01-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-11-21 | 2024-01-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-21 | 2024-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-21 | 2024-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-21 | 2023-12-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-11-21 | 2023-12-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-21 | 2023-12-15 | 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 | 2023-11-21 | 2023-12-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-21 | 2023-12-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-21 | 2023-12-15 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-21 | 2023-12-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-21 | 2023-12-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-21 | 2023-12-15 | N |
| Provide appropriate foot care. | Health | 2023-11-21 | 2023-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-21 | 2023-12-15 | 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 | 2023-11-21 | 2023-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-21 | 2023-12-15 | 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 | 2023-11-21 | 2023-12-15 | 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 | 2023-11-21 | 2023-12-15 | N |
| Provide or obtain dental services for each resident. | Health | 2023-11-21 | 2023-12-15 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-21 | 2023-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-21 | 2023-12-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-09-28 | 2023-10-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-29 | 2023-07-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-20 | 2023-04-10 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-20 | 2023-04-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-20 | 2023-04-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-21 | 2023-03-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-21 | 2023-03-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-21 | 2023-03-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-21 | 2023-03-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-21 | 2023-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-19 | 2022-12-30 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-30 | 2022-12-15 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-11-30 | 2022-12-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2022-12-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-30 | 2022-12-15 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-11-30 | 2022-12-15 | 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 | 2022-11-18 | 2022-12-07 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-11-18 | 2022-12-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-11-18 | 2022-12-02 | 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 | 2022-11-18 | 2022-12-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-22 | 2022-10-04 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-06-22 | 2022-07-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-18 | 2022-05-11 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-18 | 2022-02-04 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-22 | 2022-01-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-12-22 | 2022-01-03 | Y |
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