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Deficiency Records for North End Rehabilitation and Healthcare Center

A list of the most recent deficiencies for North End Rehabilitation and Healthcare 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 North End Rehabilitation and Healthcare 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?
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2024-05-23 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 2024-05-23 2024-06-21 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2024-05-23 2024-06-21 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-05-23 2024-06-21 N
Assess the resident when there is a significant change in condition Health 2023-07-13 2023-07-16 Y
Provide enough food/fluids to maintain a resident's health. Health 2023-07-13 2023-07-16 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2023-04-04 2023-05-15 N
Provide properly protected cooking facilities. Fire Safety 2023-04-04 2023-05-15 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-04 2023-05-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-04 2023-05-15 N
Have an externally vented heating system. Fire Safety 2023-04-04 2023-05-15 N
Ensure medical gas and vacuum systems have documented maintenance programs. Fire Safety 2023-04-04 2023-05-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-03-24 2023-04-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-03-24 2023-04-14 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 2023-03-24 2023-04-14 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-03-24 2023-04-14 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-03-24 2023-04-14 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-24 2023-04-14 N
Provide enough food/fluids to maintain a resident's health. Health 2023-03-24 2023-04-14 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 2023-03-24 2023-04-14 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-03-24 2023-04-14 N
Ensure medication error rates are not 5 percent or greater. Health 2023-03-24 2023-04-14 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 2023-03-24 2023-04-14 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2023-03-24 2023-04-14 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-03-24 2023-04-14 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-25 2022-06-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-04-25 2022-06-15 N
Keep all essential equipment working safely. Health 2022-04-25 2022-06-15 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-04-25 2022-06-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-04-25 2022-06-08 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-04-25 2022-06-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-04-25 2022-06-08 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 2022-04-25 2022-06-08 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 2022-04-25 2022-06-08 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-04-25 2022-06-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-04-25 2022-06-08 N
Have a plan that describes the process for conducting QAPI and QAA activities. Health 2022-04-25 2022-06-08 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-05-05 2022-06-03 N
Have an enclosure around a vertical opening shaft. Fire Safety 2022-05-05 2022-06-03 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 2022-05-05 2022-06-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-05-05 2022-06-03 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2022-05-05 2022-06-03 N
Have proper medical gas storage and administration areas. Fire Safety 2022-05-05 2022-06-03 N
Provide and implement an infection prevention and control program. Health 2022-01-05 2022-01-17 N

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