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Deficiency Records for Halstead Health and Rehabilitation Center
A list of the most recent deficiencies for Halstead Health and Rehabilitation 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 Halstead Health and Rehabilitation 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-12 | 2024-07-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-06-12 | 2024-07-15 | 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 | 2024-06-12 | 2024-07-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-06-12 | 2024-07-15 | 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 | 2024-06-12 | 2024-07-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have an externally vented heating system. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-12 | 2024-07-15 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-20 | 2024-06-08 | 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 | 2024-05-20 | 2024-06-08 | Y |
| 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 | 2024-05-20 | 2024-06-08 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-20 | 2024-06-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-20 | 2024-06-08 | 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 | 2024-05-20 | 2024-06-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-20 | 2024-06-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-20 | 2024-06-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-20 | 2024-06-08 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-20 | 2024-06-08 | 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 | 2024-05-20 | 2024-06-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-20 | 2024-06-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-20 | 2024-06-08 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-20 | 2024-06-08 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-06 | 2022-10-31 | 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 | 2022-10-06 | 2022-10-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-06 | 2022-10-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-06 | 2022-10-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-10-06 | 2022-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-06 | 2022-10-31 | N |
| Dispose of garbage and refuse properly. | Health | 2022-10-06 | 2022-10-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-10-06 | 2022-10-31 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-05-13 | 2021-06-14 | 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 | 2021-05-13 | 2021-06-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-13 | 2021-06-14 | 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 | 2021-05-13 | 2021-06-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-13 | 2021-06-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-13 | 2021-05-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-06 | 2021-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-06 | 2021-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-06 | 2021-04-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-06 | 2021-04-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-04-06 | 2021-04-30 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-04-06 | 2021-04-30 | N |
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