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Deficiency Records for Doctors Community Rehabilitation and Patient Care
A list of the most recent deficiencies for Doctors Community Rehabilitation and Patient Care. 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 Doctors Community Rehabilitation and Patient Care. 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? |
|---|---|---|---|---|
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-30 | 2024-07-24 | N |
| Keep all essential equipment working safely. | Health | 2024-04-30 | 2024-07-24 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-02 | 2024-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-02 | 2024-06-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-02 | 2024-06-21 | N |
| 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 | 2024-05-02 | 2024-06-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-02 | 2024-06-21 | N |
| Ensure that gas fire places are out of the reach of patients and can be shut off if unit is working improperly. | Fire Safety | 2024-05-02 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-02 | 2024-06-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-02 | 2024-06-21 | N |
| Provide appropriate foot care. | Health | 2024-04-30 | 2024-06-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-04-30 | 2024-06-20 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-30 | 2024-06-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-04-30 | 2024-06-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-04-30 | 2024-06-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-30 | 2024-06-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-30 | 2024-06-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-30 | 2024-06-20 | 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 | 2024-04-30 | 2024-06-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-04-30 | 2024-06-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-04-30 | 2024-06-20 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-04-30 | 2024-06-20 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-04-30 | 2024-06-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-04-30 | 2024-06-20 | 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 | 2024-04-30 | 2024-06-20 | 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 | 2024-04-30 | 2024-06-20 | 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 | 2024-04-30 | 2024-06-20 | N |
| Keep complete, dated laboratory records in the resident's record. | Health | 2024-04-30 | 2024-06-20 | N |
| Provide or obtain dental services for each resident. | Health | 2024-04-30 | 2024-06-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-30 | 2024-06-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-04-30 | 2024-06-20 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-04-30 | 2024-06-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-30 | 2024-06-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-04 | 2024-01-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-04 | 2024-01-18 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-12-04 | 2024-01-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-04 | 2024-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2024-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2024-01-18 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-04 | 2024-01-18 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-26 | 2019-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-26 | 2019-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-26 | 2019-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-22 | 2019-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-22 | 2019-06-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-22 | 2019-06-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-12-14 | 2018-01-28 | N |
| 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 | 2017-12-14 | 2018-01-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-14 | 2018-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-14 | 2018-01-28 | 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 | 2017-12-14 | 2018-01-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2017-12-14 | 2018-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-14 | 2018-01-28 | N |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2017-12-14 | 2018-01-28 | N |
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