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Deficiency Records for Lebanon South Nursing and Rehab

A list of the most recent deficiencies for Lebanon South 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 Lebanon South 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?
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-10-06 2023-11-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-10-06 2023-11-20 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-10-06 2023-11-20 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2023-10-06 2023-11-20 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 2023-10-06 2023-11-20 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-06 2023-11-20 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 2023-10-06 2023-11-20 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-10-06 2023-11-20 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 2023-10-06 2023-11-20 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2023-10-06 2023-11-20 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-06 2023-11-20 N
Provide and implement an infection prevention and control program. Health 2023-10-06 2023-11-20 N
Use approved construction type or materials. Fire Safety 2023-10-06 2023-11-20 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 2023-10-06 2023-11-20 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-10-06 2023-11-20 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-06 2023-11-20 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-01-26 2023-03-07 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-12-07 2023-01-20 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-12-15 2022-01-24 Y
Protect each resident from the wrongful use of the resident's belongings or money. Health 2021-04-05 2021-05-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-04-05 2021-05-17 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-04-05 2021-05-17 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 2021-04-05 2021-05-17 N
Ensure that residents are free from significant medication errors. Health 2021-04-05 2021-05-17 N
Provide and implement an infection prevention and control program. Health 2021-04-05 2021-05-17 N
Develop and maintain an Emergency Preparedness Program (EP). Fire Safety 2021-04-05 2021-05-17 N
Use approved construction type or materials. Fire Safety 2021-04-05 2021-05-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2021-04-05 2021-05-17 N
Have simulated fire drills held at unexpected times. Fire Safety 2021-04-05 2021-05-17 N
Meet requirements for the use of electrical equipment. Fire Safety 2021-04-05 2021-05-17 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-04-08 2019-05-08 N
Keep residents' personal and medical records private and confidential. Health 2019-04-08 2019-05-08 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2019-04-08 2019-05-08 N

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