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Deficiency Records for Renaissance Rehabilitation and Nursing Care Center

A list of the most recent deficiencies for Renaissance Rehabilitation and Nursing 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 Renaissance Rehabilitation and Nursing 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 voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2023-06-22 2023-08-18 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-06-22 2023-08-18 Y
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-06-22 2023-08-18 Y
Ensure that residents are free from significant medication errors. Health 2023-06-22 2023-08-18 Y
Include a process for Emergency Preparedness collaboration. Fire Safety 2022-10-12 2022-12-09 N
Conduct testing and exercise requirements. Fire Safety 2022-10-12 2022-12-09 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-10-12 2022-12-09 N
Install proper backup exit lighting. Fire Safety 2022-10-12 2022-12-09 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 2022-10-12 2022-12-09 N
Provide properly protected cooking facilities. Fire Safety 2022-10-12 2022-12-09 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2022-10-12 2022-12-09 N
Install an approved automatic sprinkler system. Fire Safety 2022-10-12 2022-12-09 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2022-10-12 2022-12-09 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-10-12 2022-12-09 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-10-12 2022-12-09 N
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. Fire Safety 2022-10-12 2022-12-09 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-10-12 2022-12-09 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-10-12 2022-12-09 N
Have proper medical gas storage and administration areas. Fire Safety 2022-10-12 2022-12-09 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-10-12 2022-11-04 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 2022-10-12 2022-11-04 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-10-12 2022-11-04 N
Provide enough food/fluids to maintain a resident's health. Health 2022-10-12 2022-11-04 N
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. Health 2022-10-12 2022-11-04 N
Observe each nurse aide's job performance and give regular training. Health 2022-10-12 2022-11-04 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-10-12 2022-11-04 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-10-12 2022-11-04 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 2022-10-12 2022-11-04 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-10-12 2022-11-04 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-10-12 2022-11-04 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-10-12 2022-11-04 Y
Respond appropriately to all alleged violations. Health 2022-05-04 2022-05-26 Y
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 2022-05-04 2022-05-26 Y
Ensure that residents are free from significant medication errors. Health 2022-05-04 2022-05-26 Y
Reasonably accommodate the needs and preferences of each resident. Health 2022-03-04 2022-04-18 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-04 2022-04-18 Y
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-03-04 2022-04-18 Y
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2019-03-29 2019-05-27 N
Properly provide smoke detection systems in areas open to corridors. Fire Safety 2019-03-29 2019-05-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-03-29 2019-05-27 N
Have simulated fire drills held at unexpected times. Fire Safety 2019-03-29 2019-05-27 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-03-29 2019-05-27 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2019-03-29 2019-05-27 N
Have stairways and smokeproof enclosures used as exits that meet safety requirements. Fire Safety 2017-06-20 2017-08-12 N
Have exits that are accessible at all times. Fire Safety 2017-06-20 2017-08-12 N
Install proper backup exit lighting. Fire Safety 2017-06-20 2017-08-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2017-06-20 2017-08-12 N
Have simulated fire drills held at unexpected times. Fire Safety 2017-06-20 2017-08-12 N
Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2017-06-20 2017-08-01 N
Provide necessary care and services to maintain or improve the highest well being of each resident . Health 2017-06-20 2017-08-01 N
Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. Health 2017-06-20 2017-08-01 N

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