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Deficiency Records for The Springs at Rochester Hills Rehab and Nursing Ctr
A list of the most recent deficiencies for The Springs at Rochester Hills Rehab and Nursing Ctr. 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 The Springs at Rochester Hills Rehab and Nursing Ctr. 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? |
|---|---|---|---|---|
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-08-28 | 2024-09-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-08-28 | 2024-09-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-28 | 2024-09-24 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-28 | 2024-09-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-28 | 2024-09-24 | 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 | 2024-08-28 | 2024-09-24 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-08-28 | 2024-09-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-28 | 2024-09-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-08-28 | 2024-09-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-28 | 2024-09-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-28 | 2024-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-28 | 2024-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-28 | 2024-09-24 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-08-28 | 2024-09-24 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-08-28 | 2024-09-24 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-28 | 2024-09-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-08-28 | 2024-09-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-28 | 2024-09-24 | 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 | 2024-08-28 | 2024-09-24 | N |
| Provide or obtain dental services for each resident. | Health | 2024-08-28 | 2024-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-28 | 2024-09-24 | 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 | 2024-08-28 | 2024-09-24 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-08-28 | 2024-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-28 | 2024-09-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-28 | 2024-09-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-28 | 2024-09-24 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-08-28 | 2024-09-24 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-08-28 | 2024-09-24 | 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 | 2024-08-28 | 2024-09-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-28 | 2024-09-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-28 | 2024-09-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-28 | 2024-09-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-28 | 2024-09-24 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-28 | 2024-09-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-28 | 2024-09-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-15 | 2024-08-09 | Y |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-05-29 | 2024-06-19 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-29 | 2024-06-19 | Y |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-08-25 | 2023-09-20 | Y |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2023-07-13 | 2023-08-08 | 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 | 2023-07-13 | 2023-08-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-13 | 2023-08-08 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2023-07-13 | 2023-08-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-07-13 | 2023-08-08 | N |
| Provide or obtain dental services for each resident. | Health | 2023-07-13 | 2023-08-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-13 | 2023-08-08 | Y |
| 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 | 2023-07-13 | 2023-08-08 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-13 | 2023-08-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-13 | 2023-08-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-13 | 2023-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-13 | 2023-08-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-13 | 2023-08-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-13 | 2023-08-08 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-14 | 2023-08-08 | 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 | 2023-07-14 | 2023-08-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-07-14 | 2023-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-10 | 2022-09-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-09 | 2022-07-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-06-09 | 2022-07-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-06-09 | 2022-07-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-06-09 | 2022-07-07 | 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 | 2022-06-09 | 2022-07-07 | 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 | 2022-06-09 | 2022-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-09 | 2022-07-07 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-06-09 | 2022-07-07 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-06-09 | 2022-07-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-09 | 2022-07-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-09 | 2022-07-07 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-06-09 | 2022-07-07 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-06-09 | 2022-07-07 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-06-10 | 2022-07-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-10 | 2022-07-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-10 | 2021-11-17 | Y |
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