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Deficiency Records for Rock River Gardens
A list of the most recent deficiencies for Rock River Gardens. 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 Rock River Gardens. 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 | 2024-05-09 | 2024-05-24 | N |
Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-05-09 | 2024-05-24 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-09 | 2024-05-21 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-09 | 2024-05-20 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-09 | 2024-05-20 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-05-09 | 2024-05-17 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2024-05-09 | 2024-05-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-09 | 2024-05-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-16 | 2024-01-17 | Y |
Install an approved automatic sprinkler system. | Fire Safety | 2023-04-10 | 2023-05-21 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-10 | 2023-05-21 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-04-10 | 2023-05-19 | N |
Have exits that are accessible at all times. | Fire Safety | 2023-04-10 | 2023-05-19 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-10 | 2023-04-28 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-10 | 2023-04-25 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-04-10 | 2023-04-20 | 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 | 2023-04-10 | 2023-04-19 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-04-10 | 2023-04-19 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-10 | 2023-04-19 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-10 | 2023-04-19 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-10 | 2023-04-19 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2023-04-10 | 2023-04-17 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-10 | 2023-04-12 | 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 | 2023-04-10 | 2023-04-11 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-10 | 2023-04-11 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-06 | 2023-04-10 | 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 | 2023-04-06 | 2023-04-10 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2023-04-10 | 2023-04-10 | N |
Provide emergency officials' contact information. | Fire Safety | 2023-04-10 | 2023-04-10 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-04-10 | 2023-04-10 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-02-01 | 2022-03-01 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-02-01 | 2022-03-01 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-02-01 | 2022-02-28 | N |
Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-02-17 | 2022-02-25 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-02-17 | 2022-02-25 | Y |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-02-01 | 2022-02-14 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2022-02-01 | 2022-02-12 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-02-01 | 2022-02-12 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-02-01 | 2022-02-11 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-02-01 | 2022-02-10 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-02-01 | 2022-02-10 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-02-01 | 2022-02-08 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-01 | 2022-02-02 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2022-02-01 | 2022-02-01 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-01 | 2022-02-01 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-02-01 | 2022-02-01 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-01-11 | 2022-01-20 | 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 | 2022-01-11 | 2022-01-20 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-01-11 | 2022-01-20 | N |
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