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Deficiency Records for Nazareth Living Center
A list of the most recent deficiencies for Nazareth Living 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 Nazareth Living 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-10-26 | 2023-12-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-26 | 2023-12-01 | 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 | 2023-10-26 | 2023-12-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-26 | 2023-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-26 | 2023-12-01 | 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 | 2023-10-26 | 2023-12-01 | 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 | 2023-10-26 | 2023-12-01 | 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 | 2023-10-26 | 2023-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-12-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-26 | 2023-12-01 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-26 | 2023-12-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-10-26 | 2023-12-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-26 | 2023-12-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-26 | 2023-12-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-10-26 | 2023-12-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-10-26 | 2023-12-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-26 | 2023-08-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-02 | 2023-05-26 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-11-01 | 2022-12-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-12 | 2022-09-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-12 | 2022-09-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-29 | 2022-05-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-08 | 2021-12-31 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-08 | 2021-12-31 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2021-12-08 | 2021-12-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-02 | 2021-12-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-02 | 2021-12-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-02 | 2021-12-22 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-02 | 2021-12-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-10-09 | 2020-11-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-09 | 2020-11-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-09 | 2020-11-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-09 | 2020-11-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-10-09 | 2020-11-23 | 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 | 2020-10-09 | 2020-11-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2020-10-09 | 2020-11-09 | N |
| Respond appropriately to all alleged violations. | Health | 2020-10-09 | 2020-11-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-09 | 2020-11-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-10-09 | 2020-11-05 | 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 | 2020-10-09 | 2020-11-05 | 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 | 2020-10-09 | 2020-11-05 | 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 | 2020-10-09 | 2020-11-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-09 | 2020-11-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-09 | 2020-11-05 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-05 | 2019-05-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-05 | 2019-05-17 | 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 | 2019-04-05 | 2019-05-17 | 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 | 2019-04-05 | 2019-05-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-05 | 2019-05-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-05 | 2019-05-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-05 | 2019-05-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-05 | 2019-05-17 | 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 | 2019-04-05 | 2019-05-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-05 | 2019-05-17 | 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 | 2019-04-05 | 2019-05-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-05 | 2019-05-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-05 | 2019-05-17 | N |
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