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Deficiency Records for Ch Rehab and Nurs Cnt - Commons Farmington Hills
A list of the most recent deficiencies for Ch Rehab and Nurs Cnt - Commons Farmington Hills. 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 Ch Rehab and Nurs Cnt - Commons Farmington Hills. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-05 | 2024-01-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-05 | 2024-01-13 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-12-05 | 2024-01-13 | 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 | 2023-12-05 | 2024-01-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-05 | 2024-01-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-05 | 2024-01-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-05 | 2024-01-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-12-05 | 2024-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2024-01-13 | N |
| Post nurse staffing information every day. | Health | 2023-12-05 | 2024-01-13 | 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 | 2023-12-05 | 2024-01-13 | 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 | 2023-12-05 | 2024-01-13 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-05 | 2024-01-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-05 | 2024-01-13 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-12-05 | 2024-01-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-30 | 2023-04-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-30 | 2023-04-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-04-28 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-30 | 2023-02-07 | 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 | 2022-11-30 | 2023-01-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-11-30 | 2023-01-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-30 | 2023-01-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-30 | 2023-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-30 | 2023-01-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-30 | 2023-01-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-30 | 2023-01-09 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-11-30 | 2023-01-09 | 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 | 2022-11-30 | 2023-01-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-11-30 | 2023-01-09 | N |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-11-30 | 2023-01-09 | 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 | 2022-11-30 | 2023-01-09 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-30 | 2023-01-09 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-30 | 2022-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-30 | 2022-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-18 | 2022-06-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-12 | 2021-09-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-08-12 | 2021-09-17 | 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 | 2021-08-12 | 2021-09-17 | 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 | 2021-08-12 | 2021-09-17 | 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 | 2021-08-12 | 2021-09-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-12 | 2021-09-17 | 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 | 2021-08-12 | 2021-09-17 | N |
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