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Deficiency Records for Niagara Rehabilitation and Nursing Center
A list of the most recent deficiencies for Niagara Rehabilitation and Nursing 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 Niagara Rehabilitation and Nursing 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 | 2024-07-15 | 2024-08-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-15 | 2024-08-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-07-15 | 2024-08-28 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-15 | 2024-08-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-15 | 2024-08-28 | 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 | 2024-07-15 | 2024-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-15 | 2024-08-28 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-15 | 2024-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-22 | 2024-04-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-21 | 2024-02-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-21 | 2024-02-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-06 | 2023-03-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-03 | 2022-08-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-03 | 2022-08-31 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-06-16 | 2022-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-16 | 2022-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-16 | 2022-07-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-06-16 | 2022-07-23 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-06-16 | 2022-07-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-28 | 2020-04-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-02-28 | 2020-04-20 | 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 | 2020-02-28 | 2020-04-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-02-28 | 2020-04-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-28 | 2020-04-20 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2020-02-28 | 2020-04-20 | N |
| Use approved construction type or materials. | Fire Safety | 2024-07-15 | Not Fixed | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-28 | Not Fixed | N |
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