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Deficiency Records for Carroll Health and Rehab LLC
A list of the most recent deficiencies for Carroll Health and Rehab 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 Carroll Health and Rehab 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-06-26 | 2024-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-26 | 2024-08-10 | N |
| Respond appropriately to all alleged violations. | Health | 2024-06-26 | 2024-08-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-06-26 | 2024-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-26 | 2024-08-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-26 | 2024-08-10 | N |
| 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 | 2024-06-26 | 2024-08-10 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-06-26 | 2024-08-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-26 | 2024-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-26 | 2024-08-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-26 | 2024-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-26 | 2024-08-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-26 | 2024-08-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-26 | 2024-08-10 | 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 | 2024-06-26 | 2024-08-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-26 | 2024-08-10 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-06-27 | 2024-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-27 | 2024-08-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-27 | 2024-08-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-27 | 2024-08-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-26 | 2023-08-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-26 | 2023-08-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-26 | 2023-08-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-08-03 | 2022-09-09 | 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 | 2022-08-03 | 2022-09-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-08-03 | 2022-09-09 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-03 | 2022-08-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-17 | Not Fixed | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-17 | Not Fixed | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-09-17 | Not Fixed | Y |
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