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Deficiency Records for Rochelle Gardens Care Center
A list of the most recent deficiencies for Rochelle Gardens Care Center. 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 Rochelle Gardens Care Center. 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? |
|---|---|---|---|---|
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-23 | 2025-04-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2025-04-12 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2024-09-26 | 2024-10-10 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-09-13 | 2024-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-13 | 2024-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-23 | 2024-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-07-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-06-21 | 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 | 2024-05-23 | 2024-06-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-23 | 2024-06-21 | 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 | 2024-05-23 | 2024-06-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-23 | 2024-06-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-30 | 2024-06-10 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-05-23 | 2024-06-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-23 | 2024-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-06-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-23 | 2024-06-10 | 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 | 2024-05-23 | 2024-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-06-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-23 | 2024-06-10 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2024-05-23 | 2024-06-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-30 | 2024-05-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-04 | 2024-04-19 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-04-19 | Y |
| 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 | 2024-04-04 | 2024-04-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-02-28 | 2024-03-22 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-02-28 | 2024-03-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-02-13 | 2024-03-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-01-25 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-09-07 | 2023-12-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-07 | 2023-12-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-20 | 2023-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-20 | 2023-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-07 | 2023-11-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-27 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-11-10 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-08-09 | 2023-08-23 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-07-20 | 2023-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-20 | 2023-08-18 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-20 | 2023-08-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-20 | 2023-08-18 | 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 | 2023-07-20 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-08-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-20 | 2023-08-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-20 | 2023-08-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-20 | 2023-08-18 | 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 | 2023-07-20 | 2023-08-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-29 | 2023-07-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-19 | 2023-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-21 | 2022-12-14 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-11-21 | 2022-12-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-10-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-03 | 2022-08-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-03 | 2022-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-03 | 2022-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | 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 |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-03 | 2022-08-31 | 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 | 2022-08-03 | 2022-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-03 | 2022-08-31 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-16 | 2022-06-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-10 | 2022-06-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-10 | 2022-06-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-10 | 2022-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-05 | Y |
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