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Deficiency Records for New England Sinai Hospital Transitional Care Unit
A list of the most recent deficiencies for New England Sinai Hospital Transitional Care Unit. 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 New England Sinai Hospital Transitional Care Unit. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-05 | 2024-01-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-05 | 2024-01-12 | 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 | 2023-12-01 | 2023-12-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-01 | 2023-12-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2023-12-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-05 | 2023-12-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-12-05 | 2023-12-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-05 | 2023-12-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-01 | 2023-12-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-26 | 2022-10-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-26 | 2022-10-01 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-26 | 2022-10-01 | 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 | 2022-07-26 | 2022-10-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-07-26 | 2022-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-26 | 2022-09-02 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-26 | 2022-09-02 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-26 | 2022-09-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-26 | 2022-09-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-10 | 2019-11-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-10 | 2019-11-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-10 | 2019-11-24 | 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 | 2019-10-10 | 2019-11-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-10-10 | 2019-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-10 | 2019-11-24 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-10-10 | 2019-11-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-10-10 | 2019-11-24 | N |
| Post nurse staffing information every day. | Health | 2019-10-10 | 2019-11-24 | 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 | 2019-10-10 | 2019-11-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-10-10 | 2019-11-24 | N |
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