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Deficiency Records for Decatur Rehab and Health Care Ct

A list of the most recent deficiencies for Decatur Rehab and Health Care Ct. 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 Decatur Rehab and Health Care Ct. 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 be treated with respect and dignity and to retain and use personal possessions. Health 2024-08-20 2024-09-06 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 2024-08-20 2024-09-06 Y
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-08-20 2024-09-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-20 2024-09-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-05-08 2024-05-30 Y
Respond appropriately to all alleged violations. Health 2024-05-08 2024-05-30 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-05-08 2024-05-30 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-04 2024-04-17 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-04-04 2024-04-17 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 2024-02-10 2024-03-01 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-10 2024-03-01 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 2024-02-10 2024-03-01 Y
Provide a bathroom in or located near each resident?s room. Health 2024-02-10 2024-03-01 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-01-26 2024-02-22 Y
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2024-02-07 2024-02-16 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2023-08-22 2023-11-01 N
Conduct testing and exercise requirements. Fire Safety 2023-08-09 2023-09-26 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 2023-08-22 2023-09-19 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2023-08-22 2023-09-14 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2023-08-22 2023-09-14 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2023-08-22 2023-09-14 N
Ensure a qualified health professional conducts resident assessments. Health 2023-08-22 2023-09-14 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-08-22 2023-09-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-22 2023-09-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-22 2023-09-14 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 2023-08-22 2023-09-14 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 2023-08-22 2023-09-14 N
Provide and implement an infection prevention and control program. Health 2023-08-22 2023-09-14 N
Put firmly secured handrails on each side of hallways. Health 2023-08-22 2023-09-14 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-08-22 2023-09-14 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-08-22 2023-09-14 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-22 2023-09-14 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-22 2023-09-14 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 2023-08-22 2023-09-14 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-08-22 2023-09-14 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2023-08-09 2023-08-31 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2023-08-09 2023-08-31 N
Develop a communication plan. Fire Safety 2023-08-09 2023-08-31 N
Establish emergency prep training and testing. Fire Safety 2023-08-09 2023-08-31 N
Establish staff and initial training requirements. Fire Safety 2023-08-09 2023-08-31 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 2023-08-09 2023-08-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-08-09 2023-08-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-08-09 2023-08-31 N
Ensure operating rooms are properly protected and written records are maintained and available for inspection. Fire Safety 2023-08-09 2023-08-31 N
Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Health 2023-07-31 2023-08-11 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2023-07-31 2023-08-11 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 2023-07-31 2023-08-11 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-07-31 2023-08-11 Y
Keep all essential equipment working safely. Health 2023-07-31 2023-08-11 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 2023-05-25 2023-06-09 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 2023-04-05 2023-04-21 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-08 2023-03-24 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 2023-03-08 2023-03-24 Y
Post nurse staffing information every day. Health 2023-03-08 2023-03-24 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 2023-02-22 2023-03-13 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 2022-10-27 2022-12-12 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-10-27 2022-11-30 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-27 2022-11-30 Y
Respond appropriately to all alleged violations. Health 2022-10-27 2022-11-30 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-07-27 2022-09-23 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-07-27 2022-09-23 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-07-27 2022-09-23 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 2022-07-27 2022-09-23 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-07-27 2022-09-08 N
Ensure that residents are fully informed and understand their health status, care and treatments. Health 2022-07-27 2022-09-08 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-07-27 2022-09-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-27 2022-09-08 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-07-27 2022-09-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-27 2022-09-08 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2022-07-27 2022-09-08 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 2022-07-27 2022-09-08 N
Provide enough food/fluids to maintain a resident's health. Health 2022-07-27 2022-09-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-27 2022-09-08 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-07-27 2022-09-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-07-27 2022-09-08 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-07-27 2022-09-08 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 2022-07-27 2022-09-08 N
Ensure that residents are free from significant medication errors. Health 2022-07-27 2022-09-08 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 2022-07-27 2022-09-08 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-07-27 2022-09-08 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2022-07-27 2022-09-08 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2022-07-27 2022-09-08 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2022-07-27 2022-09-08 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-27 2022-09-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-27 2022-09-08 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 2022-07-27 2022-09-08 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-07-27 2022-09-08 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-07-28 2022-09-01 N
Develop Emergency Preparedness policies and procedures. Fire Safety 2022-07-28 2022-09-01 N
Develop a communication plan. Fire Safety 2022-07-28 2022-09-01 N
Establish emergency prep training and testing. Fire Safety 2022-07-28 2022-09-01 N
Establish staff and initial training requirements. Fire Safety 2022-07-28 2022-09-01 N
Conduct testing and exercise requirements. Fire Safety 2022-07-28 2022-09-01 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 2022-07-28 2022-09-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-07-28 2022-09-01 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-07-28 2022-09-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-07-28 2022-09-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-11 2022-06-03 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-05-11 2022-06-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-11 2022-06-03 Y
Respond appropriately to all alleged violations. Health 2022-05-11 2022-06-03 Y
Ensure staff are vaccinated for COVID-19 Health 2022-05-11 2022-06-03 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-02 2022-03-25 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 2022-03-02 2022-03-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-12-15 2021-12-31 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-11-16 2021-12-07 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-11-16 2021-12-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-11-16 2021-12-07 Y
Respond appropriately to all alleged violations. Health 2021-11-16 2021-12-07 Y
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 2021-11-16 2021-12-07 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-11-16 2021-12-07 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2021-11-16 2021-12-07 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-27 2021-11-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-27 2021-11-12 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-12 2021-10-25 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2021-10-05 2021-10-18 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-10-05 2021-10-18 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2021-10-05 2021-10-18 Y
Respond appropriately to all alleged violations. Health 2021-10-05 2021-10-18 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 2021-10-05 2021-10-18 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-10-05 2021-10-18 Y
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-05-27 2021-07-29 N
Establish staff and initial training requirements. Fire Safety 2021-05-27 2021-07-06 N
Conduct testing and exercise requirements. Fire Safety 2021-05-27 2021-07-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-05-27 2021-06-18 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-05-28 2021-06-17 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-28 2021-06-17 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-05-28 2021-06-17 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-05-28 2021-06-17 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-05-28 2021-06-17 N
Address patient/client population and determine types of services needed. Fire Safety 2021-05-27 2021-06-17 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-05-27 2021-06-17 N
Provide primary/alternate means for communication. Fire Safety 2021-05-27 2021-06-17 N
Establish methods for sharing information. Fire Safety 2021-05-27 2021-06-17 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2021-05-27 2021-06-17 N
Provide family notifications of emergency plan. Fire Safety 2021-05-27 2021-06-17 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2021-05-27 2021-06-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-05-27 2021-06-17 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-05-28 2021-06-16 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-28 2021-06-16 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2021-05-28 2021-06-15 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2021-05-28 2021-06-15 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-28 2021-06-10 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 2021-05-28 2021-06-10 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-05-28 2021-06-10 N

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