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Deficiency Records for Liberty Health and Wellness
A list of the most recent deficiencies for Liberty Health and Wellness. 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 Liberty Health and Wellness. 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 dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-23 | 2024-12-07 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-10-23 | 2024-12-07 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-10-23 | 2024-12-07 | 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 | 2024-10-23 | 2024-12-07 | N |
| Provide activities to meet all resident's needs. | Health | 2024-10-23 | 2024-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-23 | 2024-12-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-23 | 2024-12-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-23 | 2024-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-23 | 2024-12-07 | 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 | 2024-10-23 | 2024-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-23 | 2024-12-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-23 | 2024-12-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-23 | 2024-12-07 | Y |
| Use approved construction type or materials. | Fire Safety | 2024-10-23 | 2024-12-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-10-23 | 2024-12-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-10-23 | 2024-12-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-23 | 2024-12-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-23 | 2024-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-23 | 2024-05-20 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-04-23 | 2024-05-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-23 | 2024-05-20 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2024-04-23 | 2024-04-23 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-10-16 | 2023-11-30 | N |
| Post nurse staffing information every day. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-10-16 | 2023-11-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-16 | 2023-11-30 | 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 | 2023-10-16 | 2023-11-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-16 | 2023-11-30 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-10-16 | 2023-11-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-16 | 2023-11-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-16 | 2023-11-30 | N |
| Provide immediate access to any resident. | Health | 2023-05-04 | 2023-07-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-04 | 2023-07-14 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-04 | 2023-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-04 | 2023-07-14 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-04 | 2023-07-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-04 | 2023-07-14 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-05-04 | 2023-07-14 | 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 | 2022-09-02 | 2022-09-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-02 | 2022-09-02 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-09-02 | 2022-09-02 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-07-12 | 2022-08-25 | Y |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2022-07-12 | 2022-08-25 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-07-12 | 2022-08-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-12 | 2022-08-25 | Y |
| 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 | 2022-07-12 | 2022-08-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-12 | 2022-08-25 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-12 | 2022-08-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-12 | 2022-08-25 | 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 | 2022-07-12 | 2022-08-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-12 | 2022-08-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-12 | 2022-08-25 | Y |
| 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 | 2022-07-12 | 2022-08-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-12 | 2022-08-25 | Y |
| 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 | 2022-07-12 | 2022-08-25 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-12 | 2022-08-25 | Y |
| 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 | 2022-07-12 | 2022-08-25 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-07-12 | 2022-08-25 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-07-12 | 2022-08-25 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-12 | 2022-08-25 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-23 | Not Fixed | N |
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