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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
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-10-08 2021-10-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-08 2021-10-27 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-08 2021-10-27 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 2021-10-08 2021-10-27 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 2021-10-08 2021-10-27 Y
Post nurse staffing information every day. Health 2021-10-08 2021-10-27 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-10-08 2021-10-27 Y

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