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Deficiency Records for Old Cheney Rehabilitation
A list of the most recent deficiencies for Old Cheney 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 Old Cheney 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-13 | 2024-07-26 | 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 | 2024-06-13 | 2024-07-26 | 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 | 2024-06-13 | 2024-07-26 | 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 | 2024-06-13 | 2024-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-26 | 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 | 2024-06-13 | 2024-07-26 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-13 | 2024-07-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-06-11 | 2024-07-19 | 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 | 2024-06-11 | 2024-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-06-11 | 2024-07-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-17 | 2024-05-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-17 | 2024-05-10 | Y |
| 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 | 2024-04-17 | 2024-05-10 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-21 | 2023-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-21 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-21 | 2023-07-28 | N |
| Meet other general requirements. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-21 | 2023-07-28 | 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 | 2023-06-21 | 2023-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-05 | 2023-01-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-07 | 2022-05-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-07 | 2022-05-11 | 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 | 2022-04-07 | 2022-05-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-04-07 | 2022-05-11 | Y |
| 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 | 2022-04-07 | 2022-05-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Meet other general requirements. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-05 | 2022-05-11 | 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 | 2022-04-05 | 2022-05-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
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