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Deficiency Records for Nick's Health Care Center, LLC

A list of the most recent deficiencies for Nick's Health Care Center, LLC. 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 Nick's Health Care Center, LLC. 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?
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 2023-03-30 2023-05-30 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 2023-03-30 2023-05-30 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-03-30 2023-05-30 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 2023-03-30 2023-05-30 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-03-30 2023-05-30 N
Observe each nurse aide's job performance and give regular training. Health 2023-03-30 2023-05-30 N
Provide medically-related social services to help each resident achieve the highest possible quality of life. Health 2023-03-30 2023-05-30 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 2023-03-30 2023-05-30 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2023-03-30 2023-05-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-03-30 2023-05-30 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-03-30 2023-05-30 N
Provide and implement an infection prevention and control program. Health 2023-03-30 2023-05-30 N
Implement a program that monitors antibiotic use. Health 2023-03-30 2023-05-30 N
Address subsistence needs for staff and patients. Fire Safety 2023-03-30 2023-05-30 N
Develop a communication plan. Fire Safety 2023-03-30 2023-05-30 N
Use approved construction type or materials. Fire Safety 2023-03-30 2023-05-30 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 2023-03-30 2023-05-30 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-03-30 2023-05-30 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-03-30 2023-05-30 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-03-30 2023-05-30 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-03-30 2023-05-30 N
Provide a written emergency evacuation plan. Fire Safety 2023-03-30 2023-05-30 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-03-30 2023-05-30 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-03-30 2023-05-30 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2023-03-30 2023-05-30 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-03-30 2023-05-30 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-03-30 2023-05-30 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-03-30 2023-05-30 N
Respond appropriately to all alleged violations. Health 2022-05-31 2022-07-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-05-03 2022-07-07 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-04 2022-02-07 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-04 2022-02-07 Y
Honor the resident's right to manage his or her financial affairs. Health 2020-02-26 2020-04-06 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2020-02-26 2020-04-06 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 2020-02-26 2020-04-06 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2020-02-26 2020-04-06 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-02-26 2020-04-06 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2020-02-26 2020-04-06 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2020-02-26 2020-04-06 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2020-02-26 2020-04-06 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-02-26 2020-04-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-02-26 2020-04-06 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-02-26 2020-04-06 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2020-02-26 2020-04-06 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 2020-02-26 2020-04-06 N
Ensure medication error rates are not 5 percent or greater. Health 2020-02-26 2020-04-06 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 2020-02-26 2020-04-06 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-26 2020-04-06 N
Provide and implement an infection prevention and control program. Health 2020-02-26 2020-04-06 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2020-02-26 2020-04-06 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2020-02-26 2020-04-06 N
Use approved construction type or materials. Fire Safety 2020-02-26 2020-04-06 N
Meet other general requirements that are deficient. Fire Safety 2020-02-26 2020-04-06 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2020-02-26 2020-04-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-26 2020-04-06 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2020-02-26 2020-04-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-26 2020-04-06 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2020-02-26 2020-04-06 N
Provide a written emergency evacuation plan. Fire Safety 2020-02-26 2020-04-06 N
Have simulated fire drills held at unexpected times. Fire Safety 2020-02-26 2020-04-06 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2020-02-26 2020-04-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2020-02-26 2020-04-06 N
Have proper medical gas storage and administration areas. Fire Safety 2020-02-26 2020-04-06 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2024-10-11 Not Fixed 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 2024-10-11 Not Fixed N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-10-11 Not Fixed N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-10-11 Not Fixed N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-10-11 Not Fixed N
Post nurse staffing information every day. Health 2024-10-11 Not Fixed N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-10-11 Not Fixed N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-10-11 Not Fixed N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-10-11 Not Fixed N
Conduct testing and exercise requirements. Fire Safety 2024-10-11 Not Fixed N
Have simulated fire drills held at unexpected times. Fire Safety 2024-10-11 Not Fixed N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-10-11 Not Fixed N

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