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Deficiency Records for Life Care Center of Nashoba Valley
A list of the most recent deficiencies for Life Care Center of Nashoba Valley. 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 Life Care Center of Nashoba Valley. 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? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Develop a communication plan. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-08-20 | 2024-09-20 | 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 | 2024-08-20 | 2024-09-20 | 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 | 2024-08-20 | 2024-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-20 | 2024-09-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-01 | 2024-08-16 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2024-08-01 | 2024-08-16 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-08-01 | 2024-08-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-01 | 2024-08-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-01 | 2024-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-01 | 2024-08-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-01 | 2024-08-16 | 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 | 2023-06-07 | 2023-06-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-07 | 2023-06-19 | 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 | 2023-06-07 | 2023-06-19 | 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 | 2023-06-07 | 2023-06-19 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-05-26 | 2022-06-24 | 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 | 2022-05-26 | 2022-06-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-26 | 2022-06-24 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-26 | 2022-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-26 | 2022-06-24 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-05-26 | 2022-06-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-26 | 2022-06-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-26 | 2022-06-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-26 | 2022-06-24 | 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 | 2022-05-26 | 2022-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-26 | 2022-06-24 | N |
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