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Deficiency Records for Rochester Community Nursing and Rehabilitation Ctr

A list of the most recent deficiencies for Rochester Community Nursing and Rehabilitation Ctr. 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 Rochester Community Nursing and Rehabilitation Ctr. 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?
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-12-05 2023-03-02 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 2023-02-16 2023-03-02 Y
Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. Health 2023-02-16 2023-03-02 Y
Ensure that residents are free from significant medication errors. Health 2023-02-16 2023-03-02 Y
Establish staff and initial training requirements. Fire Safety 2022-12-05 2023-03-02 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-12-05 2023-03-02 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-12-05 2023-03-02 N
Ensure that testing and maintenance of electrical equipment is performed. Fire Safety 2022-12-05 2023-03-02 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 2022-12-05 2023-02-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2022-12-05 2023-02-03 N
Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. Health 2022-12-05 2023-02-03 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-12-05 2023-02-03 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 2022-12-05 2023-02-03 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-12-05 2023-02-03 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2022-12-05 2023-02-03 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-05 2023-02-03 N
Assist a resident in gaining access to vision and hearing services. Health 2022-12-05 2023-02-03 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-05 2023-02-03 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2022-12-05 2023-02-03 N
Post nurse staffing information every day. Health 2022-12-05 2023-02-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-12-05 2023-02-03 N
Keep all essential equipment working safely. Health 2022-12-05 2023-02-03 N
Establish emergency prep training and testing. Fire Safety 2022-12-05 2023-02-03 N
Have corridors or aisles that are unobstructed and are at least 8 feet in width. Fire Safety 2022-12-05 2023-02-03 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2022-12-05 2023-02-03 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-12-05 2023-02-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-12-05 2023-02-03 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-12-05 2023-02-03 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2022-12-05 2023-02-03 N
Have simulated fire drills held at unexpected times. Fire Safety 2022-12-05 2023-02-03 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-07-28 2022-09-15 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2020-11-06 2020-12-21 N
Respond appropriately to all alleged violations. Health 2020-11-06 2020-12-21 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2020-11-06 2020-12-21 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2020-11-06 2020-12-21 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2020-11-06 2020-12-21 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 2020-11-06 2020-12-21 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 2020-11-06 2020-12-21 N
Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. Health 2020-11-06 2020-12-21 N
Provide and implement an infection prevention and control program. Health 2020-11-06 2020-12-21 N
Implement a program that monitors antibiotic use. Health 2020-11-06 2020-12-21 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2020-11-06 2020-12-21 N
Establish policies and procedures for sheltering. Fire Safety 2020-11-06 2020-12-21 N
Establish policies and procedures for medical documentation. Fire Safety 2020-11-06 2020-12-21 N
Establish policies and procedures for volunteers. Fire Safety 2020-11-06 2020-12-21 N
Establish roles under a Waiver declared by secretary. Fire Safety 2020-11-06 2020-12-21 N
Provide family notifications of emergency plan. Fire Safety 2020-11-06 2020-12-21 N
Establish emergency prep training and testing. Fire Safety 2020-11-06 2020-12-21 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2020-11-06 2020-12-21 N
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2019-12-19 2020-02-07 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-12-19 2020-02-07 N
Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. Health 2019-12-19 2020-02-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2019-12-19 2020-02-07 N
Provide and implement an infection prevention and control program. Health 2019-12-19 2020-02-07 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2019-12-19 2020-02-07 N

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