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Deficiency Records for The Loft Rehab of Rock Springs

A list of the most recent deficiencies for The Loft Rehab of Rock Springs. 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 The Loft Rehab of Rock Springs. 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-08-14 2024-08-29 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-03 2024-06-14 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-05-23 2024-06-07 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 2024-05-07 2024-05-23 Y
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2024-02-28 2024-04-02 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2024-02-28 2024-04-02 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-02-28 2024-04-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-28 2024-04-02 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-28 2024-04-02 N
Assist a resident in gaining access to vision and hearing services. Health 2024-02-28 2024-04-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-28 2024-04-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-28 2024-04-02 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 2024-02-28 2024-04-02 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 2024-02-28 2024-04-02 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-28 2024-04-02 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 2024-02-28 2024-04-02 N
Establish staff and initial training requirements. Fire Safety 2024-02-28 2024-04-02 N
Have an enclosure around a vertical opening shaft. Fire Safety 2024-02-28 2024-04-02 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 2024-02-28 2024-04-02 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-02-28 2024-04-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-28 2024-04-02 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2024-02-28 2024-04-02 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2024-02-28 2024-04-02 N
Provide a written emergency evacuation plan. Fire Safety 2024-02-28 2024-04-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-02-28 2024-04-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-28 2024-04-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-28 2024-04-02 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2024-02-22 2024-03-20 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2024-02-22 2024-03-20 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-22 2024-03-20 Y
Observe each nurse aide's job performance and give regular training. Health 2024-02-22 2024-03-20 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2024-01-30 2024-02-21 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-01-30 2024-02-21 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-01-30 2024-02-21 Y
Keep all essential equipment working safely. Health 2024-01-30 2024-02-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-01-17 2024-02-05 Y
Respond appropriately to all alleged violations. Health 2024-01-03 2024-01-18 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2024-01-03 2024-01-18 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-01-03 2024-01-18 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-12-20 2024-01-10 Y
Respond appropriately to all alleged violations. Health 2023-12-20 2024-01-10 Y
Provide and implement an infection prevention and control program. Health 2023-12-20 2024-01-10 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-16 2023-10-27 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-10 2023-08-24 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-08-10 2023-08-24 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-06-28 2023-07-05 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2023-06-28 2023-07-05 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-06-16 2023-06-28 Y
Conduct testing and exercise requirements. Fire Safety 2023-05-10 2023-06-09 N
Have exits that are accessible at all times. Fire Safety 2023-05-10 2023-06-09 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-05-10 2023-06-09 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-05-10 2023-06-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-05-10 2023-06-09 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 2023-05-04 2023-06-08 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 2023-05-04 2023-06-08 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-05-10 2023-06-02 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-05-04 2023-06-01 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-04 2023-06-01 N
Respond appropriately to all alleged violations. Health 2023-05-04 2023-06-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-04 2023-06-01 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 2023-05-04 2023-06-01 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-05-04 2023-06-01 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-04 2023-06-01 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 2023-05-04 2023-06-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-04 2023-06-01 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 2023-05-04 2023-06-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-04 2023-06-01 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-05-04 2023-06-01 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 2023-06-01 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-04 2023-06-01 N
Ensure that residents are free from significant medication errors. Health 2023-05-04 2023-06-01 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 2023-05-04 2023-06-01 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 2023-05-04 2023-06-01 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-05-04 2023-06-01 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2023-05-04 2023-06-01 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-05-04 2023-06-01 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-05-04 2023-06-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-04 2023-06-01 N
Provide and implement an infection prevention and control program. Health 2023-05-04 2023-06-01 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2023-05-04 2023-06-01 N
Provide properly protected cooking facilities. Fire Safety 2023-05-10 2023-05-25 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2023-05-10 2023-05-25 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-05-10 2023-05-23 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-05-10 2023-05-23 N
Develop a communication plan. Fire Safety 2023-05-10 2023-05-23 N
Establish emergency prep training and testing. Fire Safety 2023-05-10 2023-05-23 N
Establish staff and initial training requirements. Fire Safety 2023-05-10 2023-05-23 N
Have an enclosure around a vertical opening shaft. Fire Safety 2023-05-10 2023-05-23 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 2023-05-10 2023-05-23 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-05-10 2023-05-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-05-10 2023-05-23 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2023-05-10 2023-05-23 N
Provide a written emergency evacuation plan. Fire Safety 2023-05-10 2023-05-23 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-05-10 2023-05-23 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-05-10 2023-05-23 N
Provide appropriate foot care. Health 2023-03-01 2023-03-14 Y
Provide routine and 24-hour emergency dental care for each resident. Health 2023-03-01 2023-03-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-02-14 2023-03-01 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-01-19 2023-02-10 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2023-01-19 2023-02-10 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 2022-09-07 2022-09-16 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-08-03 2022-09-16 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 2022-08-03 2022-09-16 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2022-08-03 2022-09-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-03 2022-09-16 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-08-04 2022-09-16 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-08-04 2022-09-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-04 2022-09-02 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-08-04 2022-09-02 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-08-03 2022-08-31 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 2022-08-03 2022-08-31 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-08-03 2022-08-31 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-08-03 2022-08-31 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 2022-08-03 2022-08-31 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-08-03 2022-08-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-03 2022-08-31 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 2022-08-03 2022-08-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-03 2022-08-31 N
Provide and implement an infection prevention and control program. Health 2022-08-03 2022-08-31 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-08-03 2022-08-31 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2022-08-03 2022-08-31 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2022-08-03 2022-08-31 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-08-03 2022-08-31 Y
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 2022-08-03 2022-08-31 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-08-03 2022-08-31 Y
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2022-08-03 2022-08-31 Y
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-08-03 2022-08-31 Y
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-04 2022-08-29 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-08-04 2022-08-26 N
Have exits that are accessible at all times. Fire Safety 2022-08-04 2022-08-25 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-08-04 2022-08-25 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 2022-08-04 2022-08-25 N
Provide properly protected cooking facilities. Fire Safety 2022-08-04 2022-08-25 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-08-04 2022-08-25 N
Provide a written emergency evacuation plan. Fire Safety 2022-08-04 2022-08-25 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-08-04 2022-08-25 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2022-08-04 2022-08-25 N
Have proper medical gas storage and administration areas. Fire Safety 2022-08-04 2022-08-25 N
Ensure proper storage of liquid oxygen. Fire Safety 2022-08-04 2022-08-25 N
Establish staff and initial training requirements. Fire Safety 2022-08-04 2022-08-23 N
Conduct testing and exercise requirements. Fire Safety 2022-08-04 2022-08-23 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-07 2022-07-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-07 2022-07-21 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-19 2022-07-01 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-06-19 2022-07-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-19 2022-07-01 Y
Respond appropriately to all alleged violations. Health 2022-06-19 2022-07-01 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 2022-06-15 2022-07-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-15 2022-07-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-06-15 2022-07-01 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-06-15 2022-07-01 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-06-15 2022-07-01 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-06-06 2022-06-17 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-05-26 2022-06-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-26 2022-06-17 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 2022-05-26 2022-06-17 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-23 2022-06-06 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-05-23 2022-06-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-23 2022-06-06 Y
Respond appropriately to all alleged violations. Health 2022-05-23 2022-06-06 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-30 2022-05-17 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-03-08 2022-03-24 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-03-08 2022-03-24 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-08 2022-03-24 Y
Respond appropriately to all alleged violations. Health 2022-03-08 2022-03-24 Y
Ensure staff are vaccinated for COVID-19 Health 2022-03-08 2022-03-24 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2022-01-06 2022-01-19 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-03 2021-11-19 Y
Respond appropriately to all alleged violations. Health 2021-11-03 2021-11-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-03 2021-11-19 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-11-03 2021-11-19 Y

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