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Deficiency Records for Gardner Rehabilitation and Nursing Center

A list of the most recent deficiencies for Gardner Rehabilitation and Nursing 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 Gardner Rehabilitation and Nursing 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?
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-08-01 2023-09-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-01 2023-09-08 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 2023-08-01 2023-09-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-08-01 2023-09-08 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-08-01 2023-09-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-08-01 2023-09-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-08-01 2023-09-08 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-08-09 2023-08-10 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2022-01-31 2022-03-08 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2022-01-31 2022-03-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-01-31 2022-03-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-31 2022-03-08 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 2022-01-31 2022-03-08 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 2022-01-31 2022-03-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-01-31 2022-03-08 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 2022-01-31 2022-03-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-31 2022-03-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-31 2022-03-08 N
Provide and implement an infection prevention and control program. Health 2022-01-31 2022-03-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-01-31 2022-03-08 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2022-02-08 2022-03-08 N
Implement emergency and standby power systems. Fire Safety 2022-02-08 2022-03-08 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-02-08 2022-03-08 N
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-02-08 2022-03-08 N
Install an approved automatic sprinkler system. Fire Safety 2022-02-08 2022-03-08 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-02-08 2022-03-08 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2022-02-08 2022-03-08 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-02-08 2022-03-08 N
Ensure medical gas and vacuum systems have documented maintenance programs. Fire Safety 2022-02-08 2022-03-08 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-02-08 2022-03-08 N
Have proper medical gas storage and administration areas. Fire Safety 2022-02-08 2022-03-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-07-17 2019-08-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-07-17 2019-08-26 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 2019-07-17 2019-08-26 N
Provide or get specialized rehabilitative services as required for a resident. Health 2019-07-17 2019-08-26 N

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