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Deficiency Records for Continental Care and Rehabilitation
A list of the most recent deficiencies for Continental Care and Rehabilitation. 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 Continental Care and Rehabilitation. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-14 | 2024-09-05 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-05-20 | 2024-06-25 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-20 | 2024-06-25 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-20 | 2024-06-25 | 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 | 2024-05-20 | 2024-06-25 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-20 | 2024-06-25 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-20 | 2024-06-25 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-05-20 | 2024-06-25 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-20 | 2024-06-25 | N |
Provide and implement an infection prevention and control program. | Health | 2024-05-20 | 2024-06-25 | N |
Implement a program that monitors antibiotic use. | Health | 2024-05-20 | 2024-06-25 | 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 | 2024-05-30 | 2024-06-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-05-30 | 2024-06-18 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-05-30 | 2024-06-18 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-30 | 2024-06-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-30 | 2024-06-18 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-02-29 | 2024-03-27 | Y |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-02-29 | 2024-03-27 | Y |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-20 | 2023-08-24 | 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 | 2023-07-20 | 2023-08-24 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-07-20 | 2023-08-24 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-20 | 2023-08-24 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-20 | 2023-08-24 | N |
Provide activities to meet all resident's needs. | Health | 2023-07-20 | 2023-08-24 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-08-24 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-20 | 2023-08-24 | N |
Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-07-20 | 2023-08-24 | 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 | 2023-07-20 | 2023-08-24 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-20 | 2023-08-24 | 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 | 2023-07-20 | 2023-08-24 | N |
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-20 | 2023-08-24 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-07-20 | 2023-08-24 | N |
Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-08-24 | N |
Implement a program that monitors antibiotic use. | Health | 2023-07-20 | 2023-08-24 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-07-20 | 2023-08-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-20 | 2023-08-24 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-20 | 2023-08-24 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-08-24 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-20 | 2023-08-24 | Y |
Ensure that residents are free from significant medication errors. | Health | 2023-07-20 | 2023-08-24 | Y |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-07-20 | 2023-08-24 | Y |
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-07-25 | 2023-08-16 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2023-07-25 | 2023-08-16 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-25 | 2023-08-16 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-25 | 2023-08-16 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-25 | 2023-08-16 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-19 | 2023-01-09 | Y |
Establish an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Address subsistence needs for staff and patients. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Establish policies and procedures for medical documentation. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Establish methods for sharing information. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Establish emergency prep training and testing. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Establish staff and initial training requirements. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Conduct testing and exercise requirements. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Have exits that are accessible at all times. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-09-20 | 2022-10-31 | 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 | 2022-09-20 | 2022-10-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-20 | 2022-10-31 | N |
Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-09-16 | 2022-10-19 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-09-16 | 2022-10-19 | 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 | 2022-09-16 | 2022-10-19 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-16 | 2022-10-19 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-09-16 | 2022-10-19 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-16 | 2022-10-19 | 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 | 2022-09-16 | 2022-10-19 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-16 | 2022-10-19 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-16 | 2022-10-19 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-09-16 | 2022-10-19 | N |
Ensure each resident receives an accurate assessment. | Health | 2022-09-16 | 2022-10-19 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-16 | 2022-10-19 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-16 | 2022-10-19 | 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 | 2022-09-16 | 2022-10-19 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-16 | 2022-10-19 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-16 | 2022-10-19 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-09-16 | 2022-10-19 | N |
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-09-16 | 2022-10-19 | N |
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-09-16 | 2022-10-19 | N |
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-16 | 2022-10-19 | N |
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-16 | 2022-10-19 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-09-16 | 2022-10-19 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-16 | 2022-10-19 | N |
Provide and implement an infection prevention and control program. | Health | 2022-09-16 | 2022-10-19 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-16 | 2022-10-19 | N |
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-16 | 2022-10-19 | N |
Ensure staff are vaccinated for COVID-19 | Health | 2022-09-16 | 2022-10-19 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-16 | 2022-10-19 | Y |
Respond appropriately to all alleged violations. | Health | 2022-09-16 | 2022-10-19 | Y |
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-07-21 | 2022-08-31 | 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 | 2022-07-21 | 2022-08-31 | Y |
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 | 2022-01-05 | 2022-02-11 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-05 | 2022-02-11 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-05 | 2022-02-11 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-05 | 2022-02-11 | Y |
Respond appropriately to all alleged violations. | Health | 2022-01-05 | 2022-02-11 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-05 | 2022-02-11 | Y |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-01-05 | 2022-02-11 | Y |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-05 | 2022-02-11 | Y |
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