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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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