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Deficiency Records for The Reservoir Center For Health and Rehabilitation

A list of the most recent deficiencies for The Reservoir Center For Health and Rehabilitation. 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 The Reservoir Center For Health and Rehabilitation. 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?
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-07-11 2023-08-02 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 2023-07-11 2023-08-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-07-11 2023-08-02 N
Provide and implement an infection prevention and control program. Health 2023-01-04 2023-01-19 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-01-04 2023-01-19 N
Report COVID19 data to residents and families. Health 2023-01-04 2023-01-19 N
Perform COVID19 testing on residents and staff. Health 2023-01-04 2023-01-19 N
Implement emergency and standby power systems. Fire Safety 2021-11-04 2021-12-20 N
Install an approved automatic sprinkler system. Fire Safety 2021-11-04 2021-12-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-11-04 2021-12-20 N
Have restrictions on the use of portable space heaters. Fire Safety 2021-11-04 2021-12-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-11-04 2021-12-20 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-10-26 2021-12-15 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-10-26 2021-12-15 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2021-10-26 2021-12-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-26 2021-12-15 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-10-26 2021-12-15 N
Provide activities to meet all resident's needs. Health 2021-10-26 2021-12-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-26 2021-12-15 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 2021-10-26 2021-12-15 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2021-10-26 2021-12-15 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 2021-10-26 2021-12-15 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 2021-10-26 2021-12-15 N
Provide and implement an infection prevention and control program. Health 2021-10-26 2021-12-15 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2021-10-26 2021-12-15 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-10-26 2021-12-15 N
Perform COVID19 testing on residents and staff. Health 2021-10-26 2021-12-15 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 2021-10-26 2021-12-15 N
Provide properly protected cooking facilities. Fire Safety 2019-07-10 2019-08-25 N
Install an approved automatic sprinkler system. Fire Safety 2019-07-10 2019-08-25 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-07-10 2019-08-25 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-07-10 2019-08-25 N
Have proper openings in smoke barrier doors. Fire Safety 2019-07-10 2019-08-25 N
Have a battery powered remote alarm panel in a location accessible by operating personnel. Fire Safety 2019-07-10 2019-08-25 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-07-10 2019-08-25 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2019-06-26 2019-08-08 N
Assess the resident when there is a significant change in condition Health 2019-06-26 2019-08-08 N
Ensure each resident receives an accurate assessment. Health 2019-06-26 2019-08-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2019-06-26 2019-08-08 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 2019-06-26 2019-08-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-06-26 2019-08-08 N
Provide routine and 24-hour emergency dental care for each resident. Health 2019-06-26 2019-08-08 N
Provide and implement an infection prevention and control program. Health 2019-06-26 2019-08-08 N

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