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Deficiency Records for Iowa City Rehab and Health Care
A list of the most recent deficiencies for Iowa City Rehab and Health Care. 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 Iowa City Rehab and Health Care. 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-18 | 2024-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-18 | 2024-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-08-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-18 | 2024-08-06 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-23 | 2024-07-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-23 | 2024-07-29 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-07-23 | 2024-07-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-23 | 2024-07-29 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-07-23 | 2024-07-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-05 | 2024-03-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-05 | 2024-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-05 | 2024-03-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-01 | 2023-08-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-01 | 2023-08-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-08-17 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-25 | 2023-08-17 | 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 | 2023-06-01 | 2023-08-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-01 | 2023-08-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-01 | 2023-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-01 | 2023-08-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-01 | 2023-07-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-30 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-25 | 2023-06-30 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-05-25 | 2023-06-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-25 | 2023-06-30 | 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 | 2023-05-25 | 2023-06-30 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-05-25 | 2023-06-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-06-30 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-05-25 | 2023-06-30 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2023-05-25 | 2023-06-30 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-05-25 | 2023-06-30 | 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 | 2023-06-30 | Y |
| Post nurse staffing information every day. | Health | 2023-05-25 | 2023-06-30 | Y |
| 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 | 2023-05-25 | 2023-06-30 | Y |
| 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 | 2023-05-25 | 2023-06-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-25 | 2023-06-30 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-06-30 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-05-25 | 2023-06-30 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2023-05-25 | 2023-06-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-05-25 | 2023-06-30 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-06-01 | 2023-06-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-01 | 2023-06-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-01 | 2023-06-16 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-01 | 2023-06-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-01 | 2023-06-15 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-01 | 2023-06-13 | 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 | 2023-01-23 | 2023-02-02 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-23 | 2023-02-02 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-12-08 | 2023-01-13 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-12-08 | 2023-01-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-12-08 | 2023-01-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-08 | 2023-01-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-08 | 2023-01-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-08 | 2023-01-13 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2022-12-08 | 2023-01-13 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2022-12-08 | 2023-01-13 | Y |
| Ensure the activities program is directed by a qualified professional. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide appropriate foot care. | Health | 2022-12-08 | 2023-01-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-08 | 2023-01-13 | Y |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-08 | 2023-01-13 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-12-08 | 2023-01-13 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-08 | 2023-01-13 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-12-08 | 2023-01-13 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-12-08 | 2023-01-13 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2022-12-08 | 2023-01-13 | Y |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2022-12-08 | 2023-01-13 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-12-08 | 2023-01-13 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-08 | 2023-01-13 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2022-12-08 | 2023-01-13 | Y |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2022-12-08 | 2023-01-13 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2022-12-08 | 2023-01-13 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2022-12-08 | 2023-01-13 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide training in compliance and ethics. | Health | 2022-12-08 | 2023-01-13 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-12-08 | 2023-01-13 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2022-12-08 | 2023-01-13 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-09-26 | 2022-10-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-26 | 2022-10-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-26 | 2022-10-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-26 | 2022-10-26 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-26 | 2022-10-26 | 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 | 2022-09-26 | 2022-10-26 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-09-26 | 2022-10-26 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-09-26 | 2022-10-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-26 | 2022-10-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-26 | 2022-10-26 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-26 | 2022-10-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-17 | 2022-06-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-17 | 2022-06-17 | 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 | 2022-05-17 | 2022-06-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-05-17 | 2022-06-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-05-17 | 2022-06-17 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-05-17 | 2022-06-17 | Y |
| 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 | 2022-05-17 | 2022-06-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-03 | 2021-12-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-11-08 | 2021-12-08 | N |
| 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 | 2021-11-08 | 2021-12-08 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-11-08 | 2021-12-08 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-11-08 | 2021-12-08 | 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 | 2021-11-08 | 2021-12-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-11-08 | 2021-12-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-08 | 2021-12-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-11-08 | 2021-12-08 | 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 | 2021-11-08 | 2021-12-08 | N |
| Provide or obtain dental services for each resident. | Health | 2021-11-08 | 2021-12-08 | N |
| 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 | 2021-11-08 | 2021-12-08 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-11-08 | 2021-12-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-08 | 2021-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-08 | 2021-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-08 | 2021-12-08 | 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 | 2021-11-08 | 2021-12-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-11-08 | 2021-12-08 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-03 | 2021-11-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-03 | 2021-11-18 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-11-03 | 2021-11-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-03 | 2021-11-18 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-11-03 | 2021-11-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-11-03 | 2021-11-18 | N |
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