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Deficiency Records for Ravenwood Specialty Care
A list of the most recent deficiencies for Ravenwood Specialty 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 Ravenwood Specialty 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? |
|---|---|---|---|---|
| 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 | 2024-07-13 | 2024-08-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-25 | 2024-04-09 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-08 | 2023-09-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-08-03 | 2023-09-01 | 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 | 2023-08-03 | 2023-09-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-03 | 2023-09-01 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-03 | 2023-09-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-08-03 | 2023-09-01 | 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 | 2023-08-03 | 2023-09-01 | 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 | 2023-08-03 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-09-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-03 | 2023-09-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-08-03 | 2023-09-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-03 | 2023-09-01 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-08-03 | 2023-09-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-09-01 | Y |
| 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 | 2023-08-03 | 2023-09-01 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-08-03 | 2023-09-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-08 | 2023-08-17 | N |
| Develop a communication plan. | Fire Safety | 2023-08-08 | 2023-08-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-08-08 | 2023-08-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-08 | 2023-08-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-08 | 2023-08-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-08 | 2023-08-16 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-08-08 | 2023-08-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-08 | 2023-08-16 | 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 | 2023-08-08 | 2023-08-14 | 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 | 2023-08-08 | 2023-08-14 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-08-08 | 2023-08-09 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-08-08 | 2023-08-09 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-08 | 2023-08-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-08 | 2023-08-08 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-08-08 | 2023-08-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-04-06 | 2023-04-26 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-08 | 2022-12-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-10-05 | 2022-10-30 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-10-05 | 2022-10-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-05 | 2022-10-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-05 | 2022-10-30 | 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 | 2022-10-05 | 2022-10-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-10-05 | 2022-10-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-05 | 2022-10-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-05 | 2022-10-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-05-23 | 2022-06-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-05-23 | 2022-06-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-05-23 | 2022-06-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-23 | 2022-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-23 | 2022-06-26 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-05-23 | 2022-06-26 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-05-23 | 2022-06-26 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-05-19 | 2022-06-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-19 | 2022-05-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-19 | 2022-05-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-05-19 | 2022-05-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-19 | 2022-05-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-14 | 2022-04-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-03-14 | 2022-04-04 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-03-14 | 2022-04-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-14 | 2022-04-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-22 | 2021-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-22 | 2021-12-22 | Y |
| 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 | 2020-03-05 | 2020-03-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-03-05 | 2020-03-24 | 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 | 2020-03-05 | 2020-03-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-05 | 2020-03-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-05 | 2020-03-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-06 | 2020-03-24 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-03-06 | 2020-03-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-03-06 | 2020-03-24 | N |
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