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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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