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Deficiency Records for Life Care Center of Andover
A list of the most recent deficiencies for Life Care Center of Andover. 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 Life Care Center of Andover. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-25 | 2024-05-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-02-22 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-11-15 | 2023-12-05 | 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 | 2023-11-15 | 2023-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-15 | 2023-12-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-15 | 2023-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-15 | 2023-12-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-11-15 | 2023-12-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-15 | 2023-12-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-15 | 2023-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-15 | 2023-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-15 | 2023-11-15 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-11-15 | 2023-11-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-18 | 2023-11-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-18 | 2023-11-06 | 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 | 2023-10-18 | 2023-11-06 | 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 | 2023-10-18 | 2023-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-18 | 2023-11-06 | 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 | 2023-10-18 | 2023-11-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-18 | 2023-11-06 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-18 | 2023-11-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-18 | 2023-11-06 | N |
| 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 | 2023-10-18 | 2023-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-18 | 2023-11-06 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-18 | 2023-11-06 | N |
| 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 | 2023-10-18 | 2023-11-06 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-10-18 | 2023-11-06 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-10-18 | 2023-11-06 | 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 | 2023-10-18 | 2023-11-06 | 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 | 2023-10-18 | 2023-11-06 | N |
| 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 | 2023-10-18 | 2023-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-18 | 2023-11-06 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-10-18 | 2023-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-18 | 2023-11-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-10-18 | 2023-11-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-18 | 2023-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-11 | 2023-09-27 | 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 | 2022-12-14 | 2023-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-28 | 2022-12-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-28 | 2022-10-14 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-05-17 | 2022-06-01 | 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 | 2022-03-08 | 2022-03-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-08 | 2022-03-18 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2022-02-08 | 2022-02-25 | 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 | 2022-02-08 | 2022-02-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-08 | 2022-02-25 | N |
| Provide activities to meet all resident's needs. | Health | 2022-02-08 | 2022-02-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-08 | 2022-02-25 | N |
| 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 | 2022-02-08 | 2022-02-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-08 | 2022-02-25 | 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 | 2022-02-08 | 2022-02-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-08 | 2022-02-25 | N |
| Use approved construction type or materials. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-12-04 | 2020-12-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-12-04 | 2020-12-31 | 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 | 2020-12-04 | 2020-12-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-07-23 | 2020-08-06 | N |
| Provide activities to meet all resident's needs. | Health | 2020-07-23 | 2020-08-06 | N |
| 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 | 2020-07-23 | 2020-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-07-23 | 2020-08-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2020-07-23 | 2020-08-06 | N |
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