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Deficiency Records for Ignite Medical Resort Rainbow Boulevard, LLC

A list of the most recent deficiencies for Ignite Medical Resort Rainbow Boulevard, LLC. 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 Ignite Medical Resort Rainbow Boulevard, LLC. 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 2024-03-21 2024-04-25 Y
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-03-21 2024-04-25 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-03-21 2024-04-25 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-01-10 2024-01-24 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-12 2023-10-05 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-09-12 2023-10-05 Y
Ensure that residents are free from significant medication errors. Health 2023-09-12 2023-10-05 Y
Provide a written emergency evacuation plan. Fire Safety 2023-08-08 2023-08-23 Y
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2023-02-08 2023-03-15 N
Provide properly protected cooking facilities. Fire Safety 2023-02-08 2023-03-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-08 2023-03-15 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-02-08 2023-03-15 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2023-02-08 2023-03-15 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-08 2023-03-15 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 2023-01-05 2023-02-08 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-01-05 2023-02-08 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-01-05 2023-02-08 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 2023-01-05 2023-02-08 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-01-05 2023-02-08 Y
Ensure that residents are free from significant medication errors. Health 2023-01-05 2023-02-08 Y
Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. Health 2023-01-05 2023-02-08 Y
Provide and implement an infection prevention and control program. Health 2023-01-05 2023-02-08 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-08-04 2021-08-26 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2021-08-04 2021-08-26 N
Address subsistence needs for staff and patients. Fire Safety 2021-08-04 2021-08-26 N
Create arrangements with other facilities to receive patients. Fire Safety 2021-08-04 2021-08-26 N
Establish emergency prep training and testing. Fire Safety 2021-08-04 2021-08-26 N
Establish staff and initial training requirements. Fire Safety 2021-08-04 2021-08-26 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-08-04 2021-08-26 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2021-08-04 2021-08-26 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 2021-08-04 2021-08-26 N
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. Fire Safety 2021-08-04 2021-08-26 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-08-04 2021-08-26 N
Provide a written emergency evacuation plan. Fire Safety 2021-08-04 2021-08-26 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-08-04 2021-08-26 N
Have proper medical gas storage and administration areas. Fire Safety 2021-08-04 2021-08-26 N
Reasonably accommodate the needs and preferences of each resident. Health 2021-07-09 2021-07-27 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 2021-07-09 2021-07-27 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2021-07-09 2021-07-27 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-07-09 2021-07-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-07-09 2021-07-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-07-09 2021-07-27 N
Provide appropriate foot care. Health 2021-07-09 2021-07-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-07-09 2021-07-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-07-09 2021-07-27 N
Provide and implement an infection prevention and control program. Health 2021-07-09 2021-07-27 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2020-01-13 2020-01-31 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2020-01-13 2020-01-31 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-01-13 2020-01-31 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 2020-01-13 2020-01-31 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-01-13 2020-01-31 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 2020-01-13 2020-01-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-13 2020-01-31 N
Provide and implement an infection prevention and control program. Health 2020-01-13 2020-01-31 N
Provide properly protected cooking facilities. Fire Safety 2019-12-06 2019-12-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-12-06 2019-12-12 N
Ensure that anesthesia apparatus are tested after any adjustment, modification or repair. Fire Safety 2019-12-06 2019-12-12 N
Ensure staff are vaccinated for COVID-19 Health 2022-04-20 Not Fixed N

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