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Deficiency Records for Rossville Rehabilitation and Healthcare Center

A list of the most recent deficiencies for Rossville Rehabilitation and Healthcare 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 Rossville Rehabilitation and Healthcare 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-02-02 2024-05-15 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2024-02-02 2024-05-15 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-02-02 2024-05-15 N
Ensure each resident receives an accurate assessment. Health 2024-02-02 2024-05-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-02-02 2024-05-15 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 2024-02-02 2024-05-15 N
Provide activities to meet all resident's needs. Health 2024-02-02 2024-05-15 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 2024-02-02 2024-05-15 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-02 2024-05-15 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2024-02-02 2024-05-15 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 2024-02-02 2024-05-15 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 2024-02-02 2024-05-15 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2024-02-02 2024-05-15 Y
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2024-02-06 2024-04-08 N
Address patient/client population and determine types of services needed. Fire Safety 2024-02-06 2024-04-08 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2024-02-06 2024-04-08 N
Address subsistence needs for staff and patients. Fire Safety 2024-02-06 2024-04-08 N
Establish policies and procedures for volunteers. Fire Safety 2024-02-06 2024-04-08 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2024-02-06 2024-04-08 N
Establish emergency prep training and testing. Fire Safety 2024-02-06 2024-04-08 N
Establish staff and initial training requirements. Fire Safety 2024-02-06 2024-04-08 N
Conduct testing and exercise requirements. Fire Safety 2024-02-06 2024-04-08 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-02-02 2024-04-02 Y
Respond appropriately to all alleged violations. Health 2024-02-02 2024-04-02 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-02-02 2024-04-02 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 2024-02-02 2024-04-02 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-02-02 2024-04-02 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 2024-02-02 2024-04-02 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2024-02-02 2024-04-02 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-02-02 2024-04-02 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-02-02 2024-04-02 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-02 2024-04-02 N
Assist a resident in gaining access to vision and hearing services. Health 2024-02-02 2024-04-02 N
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 2024-02-02 2024-04-02 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2024-02-02 2024-04-02 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-02-02 2024-04-02 N
Ensure medication error rates are not 5 percent or greater. Health 2024-02-02 2024-04-02 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 2024-02-02 2024-04-02 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-02-02 2024-04-02 N
Provide and implement an infection prevention and control program. Health 2024-02-02 2024-04-02 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-02 2024-04-02 Y
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 2024-02-02 2024-04-02 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2024-02-02 2024-04-02 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-02 2024-04-02 Y
Provide properly protected cooking facilities. Fire Safety 2024-02-06 2024-03-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2024-02-06 2024-03-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-02-06 2024-03-12 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-02-06 2024-03-12 N
Meet other general requirements that are deficient. Fire Safety 2024-02-06 2024-03-12 N
Provide a written emergency evacuation plan. Fire Safety 2024-02-06 2024-03-12 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-02-06 2024-03-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-02-06 2024-03-12 N
Ensure gas and vacuum piping is labeled. Fire Safety 2024-02-06 2024-03-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2024-02-06 2024-03-12 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-06 2024-03-12 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-06 2024-03-12 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 2024-02-02 2024-02-02 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-10-01 2021-11-21 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-10-01 2021-11-21 Y
Provide and implement an infection prevention and control program. Health 2021-10-01 2021-11-21 Y
Install an approved automatic sprinkler system. Fire Safety 2019-05-16 2019-06-17 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2019-03-29 2019-05-08 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2019-03-29 2019-05-08 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 2019-03-29 2019-05-08 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2019-03-29 2019-05-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-03-29 2019-05-08 N
Honor each resident's preferences, choices, values and beliefs. Health 2019-03-29 2019-05-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2019-03-29 2019-05-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-03-29 2019-05-08 N
Provide enough food/fluids to maintain a resident's health. Health 2019-03-29 2019-05-08 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2019-03-29 2019-05-08 N
Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. Health 2019-03-29 2019-05-08 N
Provide or obtain dental services for each resident. Health 2019-03-29 2019-05-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-03-29 2019-05-08 N
Keep all essential equipment working safely. Health 2019-03-29 2019-05-08 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2017-12-06 2018-01-02 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 2017-12-06 2018-01-02 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2017-12-06 2018-01-02 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2017-12-06 2018-01-02 N
Have simulated fire drills held at unexpected times. Fire Safety 2017-12-06 2018-01-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2017-12-06 2018-01-02 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-10-30 2017-11-24 N
Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. Health 2017-10-30 2017-11-24 N
Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. Health 2017-10-30 2017-11-24 N

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