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Deficiency Records for Royal Cape Cod Nursing and Rehabilitation Center
A list of the most recent deficiencies for Royal Cape Cod 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 Royal Cape Cod 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-21 | 2023-12-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-21 | 2023-12-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-21 | 2023-12-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-21 | 2023-12-08 | 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 | 2023-11-21 | 2023-12-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-21 | 2023-12-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-21 | 2023-12-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-21 | 2023-03-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-21 | 2022-09-16 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-21 | 2022-09-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-11 | 2021-10-06 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-11 | 2021-09-09 | 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 | 2021-08-11 | 2021-09-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-08-11 | 2021-09-08 | 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 | 2021-08-11 | 2021-09-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-08-11 | 2021-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-11 | 2021-08-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-08-11 | 2021-08-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-08-11 | 2021-08-13 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-08-11 | 2021-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-11 | 2021-08-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-11 | 2021-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-11 | 2021-08-13 | 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 | 2021-08-11 | 2021-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-21 | 2019-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-21 | 2019-09-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-08-21 | 2019-09-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2019-08-21 | 2019-09-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-08-21 | 2019-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-21 | 2019-08-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-21 | 2019-08-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-21 | 2019-08-15 | 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 | 2019-06-21 | 2019-08-09 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-06-21 | 2019-08-09 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-06-21 | 2019-08-09 | N |
| Keep all essential equipment working safely. | Health | 2019-06-21 | 2019-08-06 | 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 | 2019-06-21 | 2019-08-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-06-21 | 2019-08-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-06-21 | 2019-08-05 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-06-21 | 2019-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-21 | 2019-06-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2019-06-21 | 2019-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-21 | 2019-06-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-06-21 | 2019-06-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-06-21 | 2019-06-24 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-06-21 | 2019-06-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-21 | 2019-06-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-21 | 2019-06-22 | N |
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