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Deficiency Records for Roubal Care and Rehab Center
A list of the most recent deficiencies for Roubal Care and Rehab Center. 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 Roubal Care and Rehab Center. 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-05-15 | 2024-06-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-15 | 2024-06-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-15 | 2024-06-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | 2024-06-21 | Y |
| 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 | 2024-05-15 | 2024-06-21 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-15 | 2024-06-21 | Y |
| Implement a program that monitors antibiotic use. | Health | 2024-05-15 | 2024-06-21 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-05-15 | 2024-06-21 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-15 | 2024-06-21 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-05-14 | 2024-06-21 | 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 | 2024-05-14 | 2024-06-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2024-05-14 | 2024-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-16 | 2023-07-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-06-16 | 2023-07-14 | 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 | 2023-06-16 | 2023-07-14 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-16 | 2023-07-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-06-16 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-16 | 2023-07-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-14 | 2023-07-14 | 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 | 2023-06-14 | 2023-07-14 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-14 | 2023-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-23 | 2022-07-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-05-12 | 2022-07-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-07-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-12 | 2022-07-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-12 | 2022-07-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-12 | 2022-06-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-12 | 2022-06-24 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2022-05-23 | 2022-06-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-05-23 | 2022-06-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-05-23 | 2022-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-05-23 | 2022-06-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-12 | 2022-06-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-05-23 | 2022-06-10 | N |
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