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Deficiency Records for Rossville Healthcare and Rehab Center

A list of the most recent deficiencies for Rossville Healthcare 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 Rossville Healthcare 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 2024-08-14 2024-08-29 Y
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2024-08-14 2024-08-29 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-06-11 2024-06-25 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-13 2023-12-12 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 2023-09-05 2023-10-06 N
Provide properly protected cooking facilities. Fire Safety 2023-09-05 2023-10-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-09-05 2023-10-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-09-05 2023-10-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-09-05 2023-10-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-09-05 2023-10-06 N
Have an externally vented heating system. Fire Safety 2023-09-05 2023-10-06 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2023-09-05 2023-10-06 N
Respond appropriately to all alleged violations. Health 2023-08-23 2023-09-19 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-08-23 2023-09-19 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-08-23 2023-09-19 Y
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2023-08-23 2023-09-19 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-08-23 2023-09-19 Y
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 2023-08-23 2023-09-19 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2023-08-23 2023-09-19 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-23 2023-09-19 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-08-23 2023-09-19 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-08-23 2023-09-19 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-23 2023-09-19 Y
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 2023-08-23 2023-09-19 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 2023-08-23 2023-09-19 Y
Observe each nurse aide's job performance and give regular training. Health 2023-08-23 2023-09-19 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-08-23 2023-09-19 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2023-08-23 2023-09-19 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 2023-08-23 2023-09-19 Y
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 2023-08-23 2023-09-19 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-08-23 2023-09-19 Y
Provide and implement an infection prevention and control program. Health 2023-08-23 2023-09-19 Y
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-08-23 2023-09-19 Y
Provide and implement an infection prevention and control program. Health 2023-07-10 2023-07-24 Y
Ensure that residents are free from significant medication errors. Health 2023-02-15 2023-03-24 Y
Provide and implement an infection prevention and control program. Health 2023-02-15 2023-03-24 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-30 2023-02-14 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 2023-01-30 2023-02-14 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-19 2022-11-25 Y
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Health 2022-09-19 2022-11-25 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-09-19 2022-11-25 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-09-19 2022-11-25 Y
Provide and implement an infection prevention and control program. Health 2022-09-19 2022-11-25 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-01-10 2022-01-28 N
Use approved construction type or materials. Fire Safety 2022-01-10 2022-01-28 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-01-10 2022-01-28 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-01-10 2022-01-28 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-01-10 2022-01-28 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-01-10 2022-01-28 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-01-10 2022-01-28 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-01-10 2022-01-28 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2021-12-13 2021-12-31 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-12-13 2021-12-31 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-12-13 2021-12-31 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2021-12-13 2021-12-31 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-12-13 2021-12-31 Y
Provide and implement an infection prevention and control program. Health 2021-12-13 2021-12-31 Y
Ensure that residents are free from significant medication errors. Health 2021-10-25 2021-11-09 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2020-02-10 2020-02-29 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2020-02-10 2020-02-29 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2020-02-10 2020-02-29 N
Ensure residents have reasonable access to and privacy in their use of communication methods. Health 2020-02-10 2020-02-29 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2020-02-10 2020-02-29 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2020-02-10 2020-02-29 N
Respond appropriately to all alleged violations. Health 2020-02-10 2020-02-29 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2020-02-10 2020-02-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2020-02-10 2020-02-29 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-02-10 2020-02-29 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-02-10 2020-02-29 N
Install proper backup exit lighting. Fire Safety 2020-01-10 2020-01-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-01-10 2020-01-22 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-01-10 2020-01-22 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2020-01-10 2020-01-22 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2020-01-10 2020-01-22 N

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