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Deficiency Records for Family Health and Rehabilitation Center
A list of the most recent deficiencies for Family 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 Family 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 | 2024-05-14 | 2024-06-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-14 | 2024-06-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-14 | 2024-05-31 | 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 | 2024-05-14 | 2024-05-29 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-14 | 2024-05-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-14 | 2024-05-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-05-14 | 2024-05-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-14 | 2024-05-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-14 | 2024-05-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-24 | 2024-05-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-24 | 2024-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-24 | 2024-05-10 | Y |
| 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 | 2024-04-24 | 2024-05-10 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-04-24 | 2024-05-10 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-24 | 2024-05-10 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-04-24 | 2024-05-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-24 | 2024-05-10 | 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 | 2024-04-24 | 2024-05-10 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-24 | 2024-05-10 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-04-24 | 2024-05-10 | 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 | 2022-10-24 | 2022-11-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-24 | 2022-11-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-10-24 | 2022-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-24 | 2022-11-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-10-24 | 2022-11-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-08-31 | 2022-09-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-31 | 2022-09-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-31 | 2022-09-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-31 | 2022-09-25 | 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 | 2022-08-31 | 2022-09-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-31 | 2022-09-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-03 | 2021-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-03 | 2021-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-03 | 2021-03-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-03 | 2021-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-03 | 2021-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-03 | 2021-03-10 | 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 | 2021-01-07 | 2021-01-30 | N |
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