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Deficiency Records for Regalcare at Holyoke
A list of the most recent deficiencies for Regalcare at Holyoke. 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 Regalcare at Holyoke. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-04 | 2024-07-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-04 | 2024-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-04 | 2024-07-17 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-24 | 2024-06-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-05-24 | 2024-06-21 | N |
| Respond appropriately to all alleged violations. | Health | 2024-05-24 | 2024-06-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-24 | 2024-06-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-05-24 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-24 | 2024-06-21 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-24 | 2024-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-24 | 2024-06-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-24 | 2024-06-21 | 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 | 2024-05-24 | 2024-06-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-24 | 2024-06-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-24 | 2024-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-24 | 2024-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-24 | 2024-06-21 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-05-24 | 2024-06-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-24 | 2024-06-21 | N |
| Have policies on smoking. | Health | 2024-05-24 | 2024-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-12 | 2023-11-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-12 | 2023-11-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-12 | 2023-11-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-09-27 | 2023-10-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-29 | 2023-08-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-29 | 2023-08-10 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-02-27 | 2023-03-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-02-27 | 2023-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-27 | 2023-03-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-21 | 2023-03-23 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-21 | 2023-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | 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 | 2023-02-21 | 2023-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-02-21 | 2023-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-21 | 2023-03-23 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-02-21 | 2023-03-23 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-29 | 2021-09-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-29 | 2021-09-09 | 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 | 2021-06-29 | 2021-09-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-29 | 2021-09-09 | 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 | 2021-06-29 | 2021-09-09 | 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 | 2021-06-29 | 2021-09-09 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-29 | 2021-09-09 | 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 | 2021-06-29 | 2021-09-09 | N |
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