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Deficiency Records for Plymouth Rehabilitation and Health Care Center
A list of the most recent deficiencies for Plymouth Rehabilitation and Health Care 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 Plymouth Rehabilitation and Health Care 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-17 | 2023-12-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-10-17 | 2023-12-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-17 | 2023-12-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-17 | 2023-12-01 | 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 | 2023-09-29 | 2023-11-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-29 | 2023-11-06 | 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 | 2023-09-29 | 2023-11-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-29 | 2023-11-06 | 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 | 2023-09-29 | 2023-11-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-29 | 2023-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-29 | 2023-11-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-29 | 2023-11-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-29 | 2023-11-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-29 | 2023-11-06 | 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 | 2023-09-29 | 2023-11-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-29 | 2023-11-06 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-09-29 | 2023-11-06 | 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 | 2023-09-29 | 2023-11-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-29 | 2023-11-06 | 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 | 2023-09-29 | 2023-11-06 | 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 | 2023-09-29 | 2023-11-06 | N |
| Provide or obtain dental services for each resident. | Health | 2023-09-29 | 2023-11-06 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-09-29 | 2023-11-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-29 | 2023-11-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-29 | 2023-11-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-09-29 | 2023-11-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-25 | 2023-10-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-25 | 2023-10-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-22 | 2023-03-29 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-22 | 2023-03-29 | Y |
| 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 | 2021-11-16 | 2022-04-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-11-16 | 2022-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-16 | 2022-04-22 | 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 | 2021-11-16 | 2022-04-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-16 | 2022-04-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-16 | 2022-04-22 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-11-16 | 2022-04-22 | 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 | 2021-11-16 | 2022-04-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-16 | 2022-04-22 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-16 | 2022-04-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-16 | 2022-02-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-16 | 2022-02-25 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-11-16 | 2022-02-25 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-11-16 | 2022-02-25 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-16 | 2022-02-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-16 | 2022-02-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-16 | 2022-01-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-16 | 2022-01-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-16 | 2022-01-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-16 | 2022-01-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-16 | 2022-01-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-16 | 2022-01-13 | N |
| Respond appropriately to all alleged violations. | Health | 2021-11-16 | 2022-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-16 | 2022-01-13 | 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 | 2021-11-16 | 2022-01-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-16 | 2022-01-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-11-16 | 2022-01-13 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-11-16 | 2022-01-13 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-16 | 2022-01-13 | 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 | 2021-11-16 | 2022-01-13 | 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 | 2021-11-16 | 2022-01-13 | 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 | 2021-11-16 | 2022-01-13 | 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 | 2021-11-16 | 2022-01-13 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-11-16 | 2022-01-13 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-16 | 2022-01-13 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-11-16 | 2022-01-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-16 | 2022-01-13 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-11-16 | 2022-01-13 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-16 | 2022-01-13 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-11-16 | 2022-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-13 | 2022-01-13 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-11-17 | 2022-01-01 | 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 | 2021-11-17 | 2022-01-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-17 | 2022-01-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-17 | 2022-01-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-17 | 2022-01-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-14 | 2020-12-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-10-14 | 2020-12-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-10-14 | 2020-12-07 | 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 | 2020-10-14 | 2020-12-07 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2020-10-14 | 2020-12-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-14 | 2020-12-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-10-14 | 2020-12-07 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-10-14 | 2020-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-10-14 | 2020-12-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-14 | 2020-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-14 | 2020-12-07 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2020-10-14 | 2020-12-07 | 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 | 2020-10-14 | 2020-11-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-10-14 | 2020-11-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-10-14 | 2020-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-14 | 2020-11-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-14 | 2020-11-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-10-14 | 2020-10-30 | N |
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