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Deficiency Records for Northern Pines Rehabilitation and Nursing
A list of the most recent deficiencies for Northern Pines Rehabilitation and Nursing. 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 Northern Pines Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-04-11 | 2024-05-09 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-11-27 | 2023-12-29 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-11-20 | 2023-12-21 | 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 | 2023-11-20 | 2023-12-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-11-20 | 2023-12-21 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-11-20 | 2023-12-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-20 | 2023-12-21 | 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 | 2023-11-20 | 2023-12-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-20 | 2023-12-21 | 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 | 2023-11-20 | 2023-12-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-20 | 2023-12-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-20 | 2023-12-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-11-20 | 2023-12-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-20 | 2023-12-21 | 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 | 2023-11-20 | 2023-12-21 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-11-20 | 2023-12-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-20 | 2023-12-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-20 | 2023-12-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-11-20 | 2023-12-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-18 | 2023-11-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-03-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-11-01 | 2022-11-14 | 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 | 2022-11-01 | 2022-11-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-11-01 | 2022-11-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-01 | 2022-11-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-01 | 2022-11-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-01 | 2022-11-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-01 | 2022-11-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-19 | 2021-09-27 | 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 | 2021-08-19 | 2021-09-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-08-19 | 2021-09-25 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-08-19 | 2021-09-25 | 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 | 2021-08-19 | 2021-09-25 | 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 | 2021-08-19 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-19 | 2021-09-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-08-19 | 2021-09-24 | 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 | 2021-08-25 | 2021-09-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-08-25 | 2021-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-25 | 2021-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-25 | 2021-09-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-25 | 2021-09-17 | N |
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