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Deficiency Records for Regalcare at Harwich
A list of the most recent deficiencies for Regalcare at Harwich. 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 Harwich. 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? |
|---|---|---|---|---|
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-09-09 | 2024-10-21 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-09-09 | 2024-10-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-09-09 | 2024-10-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-09-09 | 2024-10-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-09 | 2024-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-13 | 2024-09-27 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-08-13 | 2024-09-25 | 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 | 2024-08-13 | 2024-09-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-13 | 2024-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-13 | 2024-09-25 | 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 | 2024-08-13 | 2024-09-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-13 | 2024-09-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-13 | 2024-09-25 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-16 | 2023-06-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-16 | 2023-06-29 | 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 | 2023-05-16 | 2023-06-16 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-05-16 | 2023-06-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-03 | 2023-05-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-03 | 2023-05-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-03 | 2023-05-30 | 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 | 2023-05-03 | 2023-05-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-03 | 2023-05-30 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-05-03 | 2023-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-03 | 2023-05-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-05-03 | 2023-05-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-03 | 2023-05-30 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-16 | 2023-05-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-17 | 2023-02-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-17 | 2023-02-14 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-18 | 2022-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-18 | 2022-04-13 | Y |
| 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 | 2022-03-18 | 2022-04-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-18 | 2022-04-13 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-19 | 2020-03-27 | 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 | 2020-02-19 | 2020-03-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2020-02-19 | 2020-03-27 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2020-01-08 | 2020-02-21 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-01-08 | 2020-02-21 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-01-08 | 2020-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-08 | 2020-02-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-08 | 2020-02-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-08 | 2020-02-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2020-01-08 | 2020-02-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2020-01-08 | 2020-02-21 | 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 | 2020-01-08 | 2020-02-21 | 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 | 2020-01-08 | 2020-02-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2020-01-08 | 2020-02-21 | N |
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