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Deficiency Records for Hellenic Nursing and Rehabilitation Center
A list of the most recent deficiencies for Hellenic Nursing and 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 Hellenic Nursing and 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2024-09-25 | 2024-10-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-09-25 | 2024-10-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-25 | 2024-10-18 | 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 | 2024-09-25 | 2024-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-25 | 2024-10-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-08-30 | 2024-09-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-08-30 | 2024-09-26 | 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 | 2024-08-30 | 2024-09-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-30 | 2024-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-30 | 2024-09-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-30 | 2024-09-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-08-30 | 2024-09-26 | N |
| Provide activities to meet all resident's needs. | Health | 2024-08-30 | 2024-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-30 | 2024-09-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-30 | 2024-09-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-08-30 | 2024-09-26 | 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 | 2024-08-30 | 2024-09-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-30 | 2024-09-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-09-25 | 2024-09-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-30 | 2023-07-20 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-30 | 2023-07-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-30 | 2023-07-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-30 | 2023-07-20 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-30 | 2023-07-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-30 | 2023-07-20 | 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 | 2023-06-30 | 2023-07-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-30 | 2023-07-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-30 | 2023-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-30 | 2023-07-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-06-30 | 2023-07-20 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-30 | 2023-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-30 | 2023-07-20 | 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 | 2023-06-30 | 2023-07-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-30 | 2023-07-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-30 | 2023-07-20 | 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 | 2023-06-30 | 2023-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-30 | 2023-07-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-30 | 2023-07-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-04-12 | 2023-05-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-04-12 | 2023-05-19 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-11 | 2022-12-21 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-06 | 2021-07-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-06 | 2021-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-06 | 2021-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-06 | 2021-07-08 | 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 | 2021-05-06 | 2021-07-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-07-08 | 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 | 2021-05-06 | 2021-07-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-06 | 2021-06-23 | 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 | 2021-05-06 | 2021-06-18 | 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 | 2021-05-06 | 2021-06-18 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-05-06 | 2021-06-01 | 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 | 2021-05-06 | 2021-05-28 | 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 | 2021-05-06 | 2021-05-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-06 | 2021-05-21 | 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 | 2021-05-06 | 2021-05-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-06 | 2021-05-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-06 | 2021-05-11 | 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 | 2021-05-06 | 2021-05-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-06 | 2021-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-05-11 | 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 | 2021-05-06 | 2021-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-06 | 2021-05-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-06 | 2021-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-06 | 2021-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-05-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-05-06 | 2021-05-07 | N |
| Keep all essential equipment working safely. | Health | 2021-05-06 | 2021-05-06 | N |
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