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Deficiency Records for Regalcare at Worcester
A list of the most recent deficiencies for Regalcare at Worcester. 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 Worcester. 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? |
---|---|---|---|---|
Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-01-04 | 2024-02-02 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-04 | 2024-02-02 | N |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-01-04 | 2024-02-02 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-04 | 2024-02-02 | 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 | 2024-01-04 | 2024-02-02 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-04 | 2024-02-02 | N |
Provide and implement an infection prevention and control program. | Health | 2024-01-04 | 2024-02-02 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-14 | 2022-09-12 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-14 | 2022-09-12 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-06-14 | 2022-09-12 | 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 | 2022-06-14 | 2022-08-08 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-14 | 2022-08-08 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Develop a communication plan. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Implement emergency and standby power systems. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-14 | 2022-07-29 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-07-18 | 2022-07-26 | 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 | 2022-06-07 | 2022-07-13 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-07 | 2022-07-13 | 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 | 2022-06-07 | 2022-07-13 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-07 | 2022-07-13 | N |
Provide appropriate foot care. | Health | 2022-06-07 | 2022-07-13 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-07 | 2022-07-13 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-07 | 2022-07-13 | 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 | 2022-06-07 | 2022-07-13 | 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 | 2022-06-07 | 2022-07-13 | N |
Dispose of garbage and refuse properly. | Health | 2022-06-07 | 2022-07-13 | N |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-06-07 | 2022-07-13 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-07 | 2022-07-13 | N |
Report COVID19 data to residents and families. | Health | 2022-06-07 | 2022-07-13 | N |
Perform COVID19 testing on residents and staff. | Health | 2022-06-07 | 2022-07-13 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-10-12 | 2021-11-12 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-12 | 2021-11-12 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-07 | 2021-06-24 | 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 | 2021-05-07 | 2021-06-24 | 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 | 2021-05-07 | 2021-06-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-07 | 2021-06-24 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-07 | 2021-06-15 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-07 | 2021-06-15 | N |
Keep residents' personal and medical records private and confidential. | Health | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-07 | 2021-06-15 | N |
Ensure each resident receives an accurate assessment. | Health | 2021-05-07 | 2021-06-15 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-05-07 | 2021-06-15 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-05-07 | 2021-06-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-07 | 2021-06-15 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-07 | 2021-06-15 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-07 | 2021-06-15 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-07 | 2021-06-15 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-05-07 | 2021-06-15 | N |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | N |
Ensure that residents are free from significant medication errors. | Health | 2021-05-07 | 2021-06-15 | 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 | 2021-05-07 | 2021-06-15 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-07 | 2021-06-15 | N |
Provide and implement an infection prevention and control program. | Health | 2021-05-07 | 2021-06-15 | N |
Report COVID19 data to residents and families. | Health | 2021-05-07 | 2021-06-15 | N |
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