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Deficiency Records for Restore Health Rehabilitation Center
A list of the most recent deficiencies for Restore Health Rehabilitation 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 Restore Health Rehabilitation 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-21 | 2022-11-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-21 | 2022-11-23 | N |
| 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 | 2022-09-21 | 2022-11-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-09-21 | 2022-11-23 | 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 | 2022-09-21 | 2022-11-23 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-21 | 2022-11-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-21 | 2022-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-11-23 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-21 | 2022-11-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-21 | 2022-11-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-21 | 2022-11-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-21 | 2022-11-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-21 | 2022-11-23 | 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 | 2022-09-21 | 2022-11-23 | 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 | 2022-09-21 | 2022-11-23 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-21 | 2022-11-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-21 | 2022-11-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-21 | 2022-11-23 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-21 | 2022-11-23 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-21 | 2022-11-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-21 | 2022-11-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-21 | 2022-11-23 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-21 | 2022-11-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-21 | 2022-11-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-21 | 2022-11-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-13 | 2022-10-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-18 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-18 | 2022-03-25 | Y |
| Meet other general requirements. | Fire Safety | 2018-12-12 | 2019-01-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2018-12-12 | 2019-01-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-12 | 2019-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-12 | 2019-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-12 | 2019-01-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-17 | 2019-01-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-17 | 2019-01-09 | 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 | 2018-12-17 | 2019-01-09 | 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 | 2018-12-17 | 2019-01-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-17 | 2019-01-09 | 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 | 2018-12-17 | 2019-01-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-08-17 | 2017-09-15 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-08-17 | 2017-09-15 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2017-08-17 | 2017-09-15 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2017-08-17 | 2017-09-15 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2017-08-17 | 2017-09-15 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-17 | 2017-09-15 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-08-17 | 2017-09-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2017-08-15 | 2017-09-15 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-08-15 | 2017-09-15 | N |
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