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Deficiency Records for Guardian Angels Health and Rehab Center

A list of the most recent deficiencies for Guardian Angels Health 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 Guardian Angels Health 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?
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2024-07-17 2024-09-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-07-17 2024-09-03 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-07-17 2024-09-03 N
Post nurse staffing information every day. Health 2024-07-17 2024-09-03 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 2024-07-17 2024-09-03 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 2024-07-17 2024-09-03 N
Provide and implement an infection prevention and control program. Health 2024-07-17 2024-09-03 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2024-07-15 2024-08-27 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 2024-07-15 2024-08-27 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-07-15 2024-08-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2024-07-15 2024-08-27 N
Have restrictions on the use of highly flammable decorations. Fire Safety 2024-07-15 2024-08-27 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2024-07-15 2024-08-27 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-07-31 2024-07-26 Y
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 2024-02-09 2024-03-13 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-09-25 2023-11-03 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-09-25 2023-11-03 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-25 2023-11-03 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-08-03 2023-09-09 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-08-03 2023-09-09 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 2023-08-03 2023-09-09 N
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. Health 2023-08-03 2023-09-09 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 2023-08-03 2023-09-09 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-08-03 2023-09-09 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-08-03 2023-09-09 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-08-03 2023-09-09 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 2023-08-03 2023-09-09 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-08-03 2023-09-09 N
Provide and implement an infection prevention and control program. Health 2023-08-03 2023-09-09 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-08-03 2023-09-09 N
Implement emergency and standby power systems. Fire Safety 2023-08-03 2023-09-09 N
Install noncombustible or limited-combustible interior walls. Fire Safety 2023-07-31 2023-09-09 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 2023-07-31 2023-09-09 N
Install an approved automatic sprinkler system. Fire Safety 2023-07-31 2023-09-09 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-07-31 2023-09-09 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-07-31 2023-09-09 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-07-31 2023-09-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-07-31 2023-09-09 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-06-30 2022-08-24 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-06-30 2022-08-24 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 2022-06-30 2022-08-24 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 2022-06-30 2022-08-24 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 2022-06-30 2022-08-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-30 2022-08-24 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-06-30 2022-08-24 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2022-06-29 2022-08-24 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-06-29 2022-08-24 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 2022-06-29 2022-08-24 N
Install an approved automatic sprinkler system. Fire Safety 2022-06-29 2022-08-24 N

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