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Deficiency Records for Ignite Medical Resort Dyer LLC.
A list of the most recent deficiencies for Ignite Medical Resort Dyer LLC.. 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 Ignite Medical Resort Dyer LLC.. 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? |
|---|---|---|---|---|
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-08-08 | 2024-09-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-08 | 2024-09-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-08 | 2024-09-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-08 | 2024-09-06 | Y |
| Post nurse staffing information every day. | Health | 2024-08-08 | 2024-09-06 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-08-08 | 2024-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-08 | 2024-09-06 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-06-18 | 2024-06-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-18 | 2024-06-28 | Y |
| 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 | 2024-03-28 | 2024-04-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Have an externally vented heating system. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-03-11 | 2024-04-05 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-11 | 2024-04-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-11 | 2024-04-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-11 | 2024-04-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-11 | 2024-04-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-11 | 2024-04-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-11 | 2024-04-05 | 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 | 2024-03-11 | 2024-04-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-03-11 | 2024-04-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-11 | 2024-04-05 | 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 | 2024-03-11 | 2024-04-05 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-03-11 | 2024-04-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-11 | 2024-04-05 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-27 | 2023-12-14 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-11-27 | 2023-12-14 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-11-27 | 2023-12-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-27 | 2023-12-14 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-10 | 2023-10-20 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-21 | 2023-07-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-21 | 2023-07-06 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-03-14 | 2023-03-17 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-03 | 2023-02-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-03 | 2023-02-24 | 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 | 2023-02-03 | 2023-02-24 | 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 | 2023-02-03 | 2023-02-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-03 | 2023-02-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-02-03 | 2023-02-24 | 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 | 2023-02-03 | 2023-02-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-03 | 2023-02-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-02-03 | 2023-02-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-03 | 2023-02-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-03 | 2023-02-24 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-03 | 2023-02-24 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-03 | 2023-02-24 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-02-23 | 2023-02-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-17 | 2022-11-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-11-17 | 2022-11-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-31 | 2022-09-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-31 | 2022-09-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-31 | 2022-09-14 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-31 | 2022-09-14 | 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 | 2022-08-31 | 2022-09-14 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-31 | 2022-09-14 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-03-23 | 2022-04-08 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-03-23 | 2022-04-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-23 | 2022-04-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-23 | 2022-04-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-03-23 | 2022-04-08 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-11-30 | 2021-12-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-10 | 2021-12-01 | Y |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2020-08-03 | 2020-09-02 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-08-03 | 2020-09-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-08-03 | 2020-09-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-05 | 2020-03-02 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-05 | 2020-03-02 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-05 | 2020-03-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-05 | 2020-03-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-05 | 2020-03-02 | 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 | 2020-02-05 | 2020-03-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-05 | 2020-03-02 | 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 | 2020-02-05 | 2020-03-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-02-05 | 2020-03-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-02-05 | 2020-03-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-05 | 2020-03-02 | 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 | 2020-02-05 | 2020-03-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-05 | 2020-03-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-05 | 2020-03-02 | 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 | 2020-02-05 | 2020-01-22 | N |
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