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Deficiency Records for Careage Hills Rehabilitation and Healthcare
A list of the most recent deficiencies for Careage Hills Rehabilitation and Healthcare. 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 Careage Hills Rehabilitation and Healthcare. 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-20 | 2024-07-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-20 | 2024-07-20 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-04-02 | 2024-05-02 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-03-28 | 2024-04-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-03-28 | 2024-04-11 | 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 | 2024-03-28 | 2024-04-11 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2024-04-02 | 2024-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-28 | 2023-11-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-12 | 2023-02-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-12 | 2023-01-06 | N |
| Develop a communication plan. | Fire Safety | 2022-12-12 | 2022-12-27 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2022-12-12 | 2022-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-12 | 2022-12-15 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-12 | 2022-12-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-12-12 | 2022-12-14 | 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 | 2022-12-08 | 2022-12-13 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-08 | 2022-12-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-12-08 | 2022-12-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-12-08 | 2022-12-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-12-08 | 2022-12-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-08 | 2022-12-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-12 | 2022-12-13 | 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 | 2022-12-12 | 2022-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-12 | 2022-12-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-12-12 | 2022-12-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-12 | 2022-12-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-12 | 2022-12-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-09-30 | 2021-10-14 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-09-30 | 2021-10-14 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-09-30 | 2021-10-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-30 | 2021-10-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-30 | 2021-10-14 | 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 | 2021-09-30 | 2021-10-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-30 | 2021-10-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-30 | 2021-10-14 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-09-30 | 2021-10-14 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-09-28 | 2021-10-14 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-09-28 | 2021-10-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-28 | 2021-10-14 | 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 | 2021-09-28 | 2021-10-14 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-09-28 | 2021-10-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-28 | 2021-10-14 | N |
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