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Deficiency Records for Trace Extended Care and Rehabilitation
A list of the most recent deficiencies for Trace Extended Care and Rehabilitation. 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 Trace Extended Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-03-21 | 2024-04-30 | 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 | 2024-03-21 | 2024-04-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-21 | 2024-04-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-03-21 | 2024-04-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-03-21 | 2024-04-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-21 | 2024-04-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-03-21 | 2024-04-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-21 | 2024-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-21 | 2024-04-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-21 | 2024-04-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-21 | 2024-04-30 | 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 | 2024-03-21 | 2024-04-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-21 | 2024-04-30 | 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 | 2024-03-21 | 2024-04-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-21 | 2024-04-30 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-19 | 2024-04-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-16 | 2023-06-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-16 | 2023-06-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-16 | 2023-06-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-14 | 2023-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-14 | 2023-01-21 | 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 | 2022-12-14 | 2023-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-01-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-15 | 2023-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2023-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-17 | 2020-01-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-17 | 2020-01-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-12-17 | 2020-01-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-17 | 2020-01-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-12-17 | 2020-01-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-19 | 2020-01-06 | N |
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