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Deficiency Records for Caring Acres Nursing and Rehab Center
A list of the most recent deficiencies for Caring Acres Nursing and Rehab Center. 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 Caring Acres Nursing and Rehab Center. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-08-02 | 2024-08-23 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-02 | 2024-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-02 | 2024-08-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-06-25 | 2024-07-12 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-06-25 | 2024-07-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-21 | 2024-04-10 | 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 | 2024-03-21 | 2024-04-10 | 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 | 2024-03-21 | 2024-04-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-25 | 2024-04-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-03-25 | 2024-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-25 | 2024-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-25 | 2024-04-10 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-03-25 | 2024-04-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-25 | 2024-04-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-03-25 | 2024-03-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-03-25 | 2024-03-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-09-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-03 | 2023-09-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-03 | 2023-09-05 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2023-08-03 | 2023-09-05 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-09-05 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-08-03 | 2023-09-05 | 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 | 2023-08-03 | 2023-09-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-03 | 2023-09-05 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-12 | 2023-02-12 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-01-10 | 2023-02-08 | 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 | 2023-01-10 | 2023-02-08 | 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 | 2023-01-10 | 2023-02-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-10 | 2023-02-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-10 | 2023-02-08 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-01-10 | 2023-02-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-10 | 2023-02-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-10 | 2023-02-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-10 | 2023-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-08 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-10 | 2023-02-08 | N |
| Report COVID19 data to residents and families. | Health | 2023-01-10 | 2023-02-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-10 | 2023-02-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-10 | 2023-02-08 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-01-12 | 2023-01-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-12 | 2023-01-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-12 | 2023-01-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-01-12 | 2023-01-23 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-01-12 | 2023-01-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-12 | 2023-01-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-12 | 2023-01-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-12 | 2023-01-18 | 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 | 2021-06-04 | 2021-06-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-04 | 2021-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-03 | 2021-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-03 | 2021-06-10 | N |
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