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Deficiency Records for Carriage House Nursing and Rehab
A list of the most recent deficiencies for Carriage House Nursing and Rehab. 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 Carriage House Nursing and Rehab. 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? |
|---|---|---|---|---|
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-03-28 | 2024-04-25 | 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 | 2024-03-28 | 2024-04-25 | N |
| Post nurse staffing information every day. | Health | 2024-03-28 | 2024-04-25 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-28 | 2024-04-25 | 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 | 2024-03-28 | 2024-04-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-28 | 2024-04-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-28 | 2024-04-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-28 | 2024-04-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-28 | 2024-04-25 | 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 | 2024-03-28 | 2024-04-25 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2024-03-28 | 2024-04-25 | 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 | 2024-03-28 | 2024-04-25 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-03-28 | 2024-04-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-06 | 2024-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-06 | 2024-03-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-06 | 2024-03-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-06 | 2024-03-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-22 | 2023-04-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-22 | 2023-04-12 | 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 | 2023-03-22 | 2023-04-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-22 | 2023-04-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-22 | 2023-04-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-22 | 2023-04-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-22 | 2023-04-12 | 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 | 2023-03-22 | 2023-04-12 | 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 | 2023-03-22 | 2023-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-22 | 2023-04-12 | Y |
| 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 | 2023-03-15 | 2023-04-12 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-15 | 2023-04-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-03-15 | 2023-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-15 | 2023-04-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-21 | 2023-01-19 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-21 | 2023-01-19 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-21 | 2022-12-01 | Y |
| 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 | 2021-12-07 | 2021-12-31 | 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 | 2021-12-07 | 2021-12-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-07 | 2021-12-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-07 | 2021-12-31 | 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 | 2021-12-07 | 2021-12-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-07 | 2021-12-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-07 | 2021-12-31 | 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 | 2021-12-07 | 2021-12-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-12-07 | 2021-12-31 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-12-07 | 2021-12-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-07 | 2021-12-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-12-07 | 2021-12-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-07 | 2021-12-31 | 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 | 2021-12-02 | 2021-12-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-02 | 2021-12-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-12-02 | 2021-12-31 | N |
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