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Deficiency Records for Vandalia Rehab and Health Care C
A list of the most recent deficiencies for Vandalia Rehab and Health Care C. 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 Vandalia Rehab and Health Care C. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-02 | 2024-08-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-08-02 | 2024-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-02 | 2024-08-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-02 | 2024-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-02 | 2024-08-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-02 | 2024-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-02 | 2024-08-26 | 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 | 2024-08-02 | 2024-08-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-02 | 2024-08-26 | 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 | 2024-08-02 | 2024-08-26 | 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 | 2024-08-02 | 2024-08-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-02 | 2024-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-02 | 2024-08-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-02 | 2024-08-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-08-02 | 2024-08-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-02 | 2024-08-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-30 | 2024-08-24 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-07-30 | 2024-08-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-30 | 2024-08-24 | 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 | 2024-07-30 | 2024-08-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-30 | 2024-08-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-30 | 2024-08-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-30 | 2024-08-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-30 | 2024-08-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-05 | 2024-04-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-05 | 2024-04-18 | 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 | 2023-12-20 | 2024-01-05 | 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 | 2023-08-31 | 2023-09-23 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-31 | 2023-09-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-31 | 2023-09-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-28 | 2023-09-14 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-28 | 2023-09-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-28 | 2023-09-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-28 | 2023-09-14 | 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 | 2023-02-15 | 2023-03-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-21 | 2022-11-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-21 | 2022-11-04 | Y |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2022-10-05 | 2022-10-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-10-05 | 2022-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-05 | 2022-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-15 | 2022-10-07 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-15 | 2022-10-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-09-15 | 2022-10-07 | 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 | 2022-05-26 | 2022-07-10 | 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 | 2022-04-06 | 2022-05-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-23 | 2022-01-18 | Y |
| 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 | 2021-12-23 | 2022-01-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-23 | 2022-01-18 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-23 | 2022-01-18 | 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 | 2021-12-23 | 2022-01-18 | 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 | 2021-12-23 | 2022-01-18 | 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 | 2021-12-23 | 2022-01-18 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-12-23 | 2022-01-18 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-12-23 | 2022-01-18 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-12-23 | 2022-01-18 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-24 | 2021-12-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-24 | 2021-12-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-11-24 | 2021-12-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-17 | 2021-12-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-11-17 | 2021-12-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-17 | 2021-12-10 | Y |
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