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Deficiency Records for Roosevelt Park Nursing and Rehabilitation Communit
A list of the most recent deficiencies for Roosevelt Park Nursing and Rehabilitation Communit. 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 Roosevelt Park Nursing and Rehabilitation Communit. 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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2024-07-03 | 2024-08-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-03 | 2024-08-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-07-03 | 2024-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-03 | 2024-08-13 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-07-03 | 2024-08-13 | 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 | 2024-07-03 | 2024-08-13 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-03 | 2024-08-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-03 | 2024-08-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-08-13 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-03 | 2024-08-13 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-03 | 2024-08-13 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-07-03 | 2024-08-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-02 | 2024-08-13 | 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 | 2024-07-02 | 2024-08-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-07-02 | 2024-08-13 | 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 | 2024-07-02 | 2024-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-02 | 2024-08-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-18 | 2023-10-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-18 | 2023-10-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-18 | 2023-10-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-18 | 2023-10-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-18 | 2023-10-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-18 | 2023-10-11 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-08-18 | 2023-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-18 | 2023-10-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-18 | 2023-10-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-08-18 | 2023-10-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-17 | 2023-09-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-17 | 2023-09-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-17 | 2023-09-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-13 | 2022-10-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-13 | 2022-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-13 | 2022-10-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-13 | 2022-10-13 | 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 | 2022-09-13 | 2022-10-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-09-13 | 2022-10-13 | 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 | 2022-09-13 | 2022-10-13 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-09-13 | 2022-10-13 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-13 | 2022-10-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-13 | 2022-10-13 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-13 | 2022-10-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-13 | 2022-10-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-13 | 2022-10-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-09-13 | 2022-10-13 | N |
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