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Deficiency Records for The Palace Rehabilitation and Care Center
A list of the most recent deficiencies for The Palace Rehabilitation and Care Center. 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 The Palace Rehabilitation and Care Center. 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 safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-06-05 | 2023-08-08 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-05 | 2023-08-08 | 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 | 2023-06-05 | 2023-08-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-05 | 2023-08-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-05 | 2023-08-08 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-05 | 2023-08-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-05 | 2023-06-23 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-05 | 2023-06-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-05 | 2023-06-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-06-05 | 2023-06-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-05 | 2023-06-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-05 | 2023-06-23 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-06-05 | 2023-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-05 | 2023-06-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-05 | 2023-06-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-05 | 2023-06-23 | 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 | 2023-06-05 | 2023-06-23 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-06-05 | 2023-06-23 | 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 | 2023-06-05 | 2023-06-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-05 | 2023-06-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-05 | 2023-06-23 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-05 | 2023-06-23 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-05 | 2023-06-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-05 | 2023-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-05 | 2023-06-23 | N |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2023-06-05 | 2023-06-23 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-06-05 | 2023-06-23 | N |
| Have correct number of accessible exits for each story. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-05 | 2023-06-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-23 | 2023-04-24 | Y |
| Have correct number of accessible exits for each story. | Fire Safety | 2022-03-31 | 2022-05-27 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-03-31 | 2022-05-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-03-31 | 2022-05-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-31 | 2022-05-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-31 | 2022-05-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-31 | 2022-05-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-31 | 2022-05-05 | 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 | 2022-03-31 | 2022-05-05 | N |
| 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 | 2022-03-31 | 2022-05-05 | 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 | 2022-05-05 | 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 | 2022-05-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-05-05 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-03-31 | 2022-05-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-03-31 | 2022-05-05 | 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 | 2022-03-31 | 2022-05-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-03-31 | 2022-05-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-03-31 | 2022-05-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-03-31 | 2022-05-05 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-03-31 | 2022-05-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-03-31 | 2022-05-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-31 | 2022-02-01 | 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 | 2022-01-31 | 2022-02-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-31 | 2022-02-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-31 | 2022-02-01 | 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 | 2022-01-31 | 2022-02-01 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-31 | 2022-02-01 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2021-06-03 | 2021-06-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-03 | 2021-06-18 | N |
| Post nurse staffing information every day. | Health | 2021-06-03 | 2021-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-03 | 2021-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-03 | 2021-06-18 | N |
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