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Deficiency Records for Highland Manor of Elko Rehabilitation LLC
A list of the most recent deficiencies for Highland Manor of Elko Rehabilitation 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 Highland Manor of Elko Rehabilitation 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? |
|---|---|---|---|---|
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-07-18 | 2024-09-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-18 | 2024-09-01 | 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 | 2024-07-18 | 2024-09-01 | 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 | 2024-07-18 | 2024-09-01 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-07-18 | 2024-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-18 | 2024-09-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-18 | 2024-09-01 | 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 | 2024-07-18 | 2024-09-01 | N |
| Post nurse staffing information every day. | Health | 2024-07-18 | 2024-09-01 | 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 | 2024-07-18 | 2024-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-18 | 2024-09-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-18 | 2024-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-18 | 2024-09-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-18 | 2024-09-01 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-18 | 2024-09-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-18 | 2024-09-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-18 | 2024-09-01 | Y |
| 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 | 2024-07-24 | 2024-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-24 | 2024-09-01 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-24 | 2024-09-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-24 | 2024-09-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-07-24 | 2024-09-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-24 | 2024-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-07-24 | 2024-09-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-24 | 2024-09-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-18 | 2023-06-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-18 | 2023-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-18 | 2023-06-30 | 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 | 2023-05-18 | 2023-06-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-05-17 | 2023-06-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-31 | 2022-05-27 | 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 | 2022-03-31 | 2022-05-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-05-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-03-30 | 2022-05-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-30 | 2022-05-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-03-30 | 2022-05-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-03-30 | 2022-05-27 | 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 | 2022-03-30 | 2022-05-20 | 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 | 2022-03-30 | 2022-05-20 | N |
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