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Deficiency Records for Polo Rehabilitation and Hcc

A list of the most recent deficiencies for Polo Rehabilitation and Hcc. 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 Polo Rehabilitation and Hcc. 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 2024-09-17 2024-09-25 Y
Establish roles under a Waiver declared by secretary. Fire Safety 2024-08-21 2024-09-20 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2024-08-21 2024-09-19 N
Establish policies and procedures including evacuation. Fire Safety 2024-08-21 2024-09-18 N
Develop a communication plan. Fire Safety 2024-08-21 2024-09-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-08-21 2024-09-17 N
Establish staff and initial training requirements. Fire Safety 2024-08-21 2024-09-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-08-21 2024-09-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-08-21 2024-09-11 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2024-08-21 2024-09-11 N
Have exits that are accessible at all times. Fire Safety 2024-08-21 2024-09-10 N
Provide properly protected cooking facilities. Fire Safety 2024-08-21 2024-09-10 N
Install an approved automatic sprinkler system. Fire Safety 2024-08-21 2024-09-10 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-08-21 2024-09-10 N
Install proper backup exit lighting. Fire Safety 2024-08-21 2024-09-09 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2024-08-21 2024-09-09 N
Have properly located and lighted "Exit" signs. Fire Safety 2024-08-21 2024-09-09 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 2024-08-21 2024-09-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-08-21 2024-08-22 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-07-31 2024-08-14 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-07-31 2024-08-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-31 2024-08-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-31 2024-08-14 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-07-31 2024-08-14 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 2024-07-31 2024-08-14 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 2024-07-31 2024-08-14 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2024-07-31 2024-08-14 N
Provide properly protected cooking facilities. Fire Safety 2023-05-08 2023-06-09 N
Conduct testing and exercise requirements. Fire Safety 2023-05-08 2023-06-06 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-05-04 2023-05-26 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-08 2023-05-26 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-05-08 2023-05-26 N
Address subsistence needs for staff and patients. Fire Safety 2023-05-08 2023-05-26 N
Establish roles under a Waiver declared by secretary. Fire Safety 2023-05-08 2023-05-26 N
Develop a communication plan. Fire Safety 2023-05-08 2023-05-26 N
Establish staff and initial training requirements. Fire Safety 2023-05-08 2023-05-26 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-05-08 2023-05-26 N
Install an approved automatic sprinkler system. Fire Safety 2023-05-08 2023-05-26 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-08 2023-05-26 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2023-05-08 2023-05-26 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-05-08 2023-05-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-08 2023-05-26 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-05-08 2023-05-26 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-08 2023-05-26 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2023-05-08 2023-05-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-04 2023-05-23 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-05-04 2023-05-23 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-04 2023-05-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-04 2023-05-23 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-04 2023-05-23 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-05-04 2023-05-23 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 2023-05-04 2023-05-23 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-05-04 2023-05-23 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-05-04 2023-05-23 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2022-10-13 2022-10-25 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-13 2022-10-25 Y
Respond appropriately to all alleged violations. Health 2022-10-13 2022-10-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-10-13 2022-10-25 Y
Provide and implement an infection prevention and control program. Health 2022-02-09 2022-03-05 N
Address patient/client population and determine types of services needed. Fire Safety 2022-02-16 2022-03-04 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-02-16 2022-03-04 N
Establish emergency prep training and testing. Fire Safety 2022-02-16 2022-03-04 N
Conduct testing and exercise requirements. Fire Safety 2022-02-16 2022-03-04 N
Implement emergency and standby power systems. Fire Safety 2022-02-16 2022-03-04 N
Provide properly protected cooking facilities. Fire Safety 2022-02-16 2022-03-04 N
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. Fire Safety 2022-02-16 2022-03-04 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-02-09 2022-02-25 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-02-09 2022-02-25 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-02-09 2022-02-25 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 2022-02-09 2022-02-25 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-02-09 2022-02-25 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 2022-02-09 2022-02-25 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 2022-02-09 2022-02-25 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-02-09 2022-02-25 N

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