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Deficiency Records for New Mark Rehab and Healthcare Center
A list of the most recent deficiencies for New Mark Rehab and Healthcare 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 New Mark Rehab and Healthcare 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-04-11 | 2024-05-22 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2024-04-11 | 2024-05-22 | 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 | 2024-04-11 | 2024-05-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-11 | 2024-05-22 | 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 | 2024-04-11 | 2024-05-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-04-11 | 2024-05-22 | 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 | 2024-04-11 | 2024-05-22 | 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 | 2024-04-11 | 2024-05-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-11 | 2024-05-22 | N |
| Keep all essential equipment working safely. | Health | 2024-04-11 | 2024-05-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-11 | 2024-05-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-11 | 2024-05-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-11 | 2024-05-22 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-04-10 | 2024-05-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-02-13 | 2024-03-25 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-09-29 | 2023-01-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-29 | 2023-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-29 | 2022-11-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-29 | 2022-11-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-29 | 2022-11-11 | 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 | 2022-09-29 | 2022-11-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-09-29 | 2022-11-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-29 | 2022-11-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-09-29 | 2022-11-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2022-09-29 | 2022-11-08 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2022-09-29 | 2022-11-08 | 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 | 2022-09-29 | 2022-11-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-29 | 2022-11-08 | 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 | 2022-09-29 | 2022-11-08 | 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 | 2022-09-29 | 2022-11-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-29 | 2022-11-08 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-09-29 | 2022-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-29 | 2022-11-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-11-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-09-29 | 2022-11-08 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2022-09-29 | 2022-11-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-17 | 2022-06-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-09-05 | 2019-10-29 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-09-05 | 2019-10-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-05 | 2019-10-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-05 | 2019-10-29 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-09-05 | 2019-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-05 | 2019-10-29 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-09-05 | 2019-10-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-05 | 2019-10-29 | 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 | 2019-09-05 | 2019-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-05 | 2019-10-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-09-05 | 2019-10-29 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-04-10 | Not Fixed | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-04-10 | Not Fixed | N |
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