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Deficiency Records for Neilson Place
A list of the most recent deficiencies for Neilson Place. 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 Neilson Place. 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? |
|---|---|---|---|---|
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-07-02 | 2024-08-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-02 | 2024-08-02 | Y |
| 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 | 2024-02-29 | 2024-03-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-29 | 2024-03-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-29 | 2024-03-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-02-29 | 2024-03-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-29 | 2024-03-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-11-09 | 2023-12-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-09 | 2023-12-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-09 | 2023-12-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-19 | 2023-11-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-19 | 2023-11-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-19 | 2023-11-29 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-25 | 2023-11-29 | 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 | 2023-10-25 | 2023-11-29 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-10-25 | 2023-11-29 | N |
| Provide activities to meet all resident's needs. | Health | 2023-10-25 | 2023-11-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-25 | 2023-11-29 | N |
| 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 | 2023-10-25 | 2023-11-29 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-25 | 2023-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-25 | 2023-11-29 | 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 | 2023-10-25 | 2023-11-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-25 | 2023-11-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-17 | 2023-04-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-11-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-29 | 2022-11-10 | 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 | 2022-09-29 | 2022-11-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-29 | 2022-11-10 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-29 | 2022-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-29 | 2022-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-29 | 2022-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-07-20 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-20 | 2020-10-07 | N |
| Respond appropriately to all alleged violations. | Health | 2020-08-20 | 2020-10-07 | N |
| Provide activities to meet all resident's needs. | Health | 2020-08-20 | 2020-10-07 | 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 | 2020-08-20 | 2020-10-07 | 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 | 2020-08-20 | 2020-10-07 | 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 | 2020-08-20 | 2020-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-20 | 2020-10-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-08-20 | 2020-10-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-08-20 | 2020-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-18 | 2020-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-18 | 2020-09-16 | N |
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