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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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-22 | 2024-09-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-22 | 2024-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-09-13 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-08-22 | 2024-09-13 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-22 | 2024-09-13 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-08-22 | 2024-09-13 | Y |
| 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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