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Deficiency Records for Allegria Nursing and Rehab Center of Port Jefferson
A list of the most recent deficiencies for Allegria Nursing and Rehab Center of Port Jefferson. 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 Allegria Nursing and Rehab Center of Port Jefferson. 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? |
|---|---|---|---|---|
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-02-01 | 2024-03-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-02-01 | 2024-03-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-03-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-01 | 2024-03-11 | 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 | 2024-02-01 | 2024-03-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-02-01 | 2024-03-11 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-02-01 | 2024-03-11 | 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 | 2024-02-01 | 2024-03-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-01 | 2024-03-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-01 | 2024-03-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-07-28 | 2022-10-26 | 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 | 2022-07-28 | 2022-10-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-07-28 | 2022-09-24 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-07-28 | 2022-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-28 | 2022-09-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-28 | 2022-09-12 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-28 | 2022-09-12 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-28 | 2022-09-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-07-28 | 2022-08-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-11-06 | 2020-01-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-06 | 2020-01-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-06 | 2020-01-03 | N |
| Ensure that each resident is free from medications that restrain them, unless needed for medical treatment. | Health | 2019-11-06 | 2020-01-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-06 | 2020-01-03 | 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 | 2019-11-06 | 2020-01-03 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-11-06 | 2020-01-03 | 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 | 2019-11-06 | 2020-01-03 | 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 | 2019-11-06 | 2020-01-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-06 | 2020-01-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-06 | 2020-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-06 | 2020-01-03 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-11-06 | 2020-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2020-01-03 | N |
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