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Deficiency Records for Plaza Healthcare and Rehabilitation Center

A list of the most recent deficiencies for Plaza Healthcare and Rehabilitation 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 Plaza Healthcare and Rehabilitation 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?
Provide at least two remote exits on each floor or fire section of the building. Fire Safety 2024-01-25 2024-05-02 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2024-01-25 2024-04-18 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2024-01-25 2024-02-05 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-01-25 2024-02-05 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-01-25 2024-02-05 N
Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. Health 2024-01-25 2024-02-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-01-25 2024-02-05 Y
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2024-01-25 2024-02-05 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2024-01-25 2024-02-05 N
Install properly constructed and protected linen or trash chutes. Fire Safety 2024-01-25 2024-02-05 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-01-25 2024-02-05 N
Provide and implement an infection prevention and control program. Health 2022-03-17 2022-05-19 N
Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. Health 2022-03-17 2022-05-15 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-03-17 2022-05-15 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2022-03-17 2022-05-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-17 2022-05-15 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-03-17 2022-05-15 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-03-17 2022-05-15 N
Observe each nurse aide's job performance and give regular training. Health 2022-03-17 2022-05-15 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 2022-03-17 2022-05-15 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2022-03-17 2022-05-15 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-03-17 2022-05-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-03-17 2022-04-30 N
Respond appropriately to all alleged violations. Health 2022-03-17 2022-04-30 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 2022-03-17 2022-04-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-03-17 2022-04-30 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 2022-03-17 2022-04-30 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2022-03-17 2022-04-30 N
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Health 2022-03-17 2022-04-30 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2022-03-17 2022-04-30 N
Implement a program that monitors antibiotic use. Health 2022-03-17 2022-04-30 N
Ensure staff are vaccinated for COVID-19 Health 2022-03-17 2022-04-30 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 2022-03-17 2022-04-30 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-11-14 2019-12-02 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 2019-11-14 2019-12-02 N
Provide at least two remote exits on each floor or fire section of the building. Fire Safety 2019-11-14 2019-12-02 N
Install an approved automatic sprinkler system. Fire Safety 2019-11-14 2019-12-02 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-11-14 2019-12-02 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-11-14 2019-12-02 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2019-11-14 2019-12-02 N

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