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Deficiency Records for The Pavilion at Queens For Rehabilitation and Nrsing

A list of the most recent deficiencies for The Pavilion at Queens For Rehabilitation and Nrsing. 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 The Pavilion at Queens For Rehabilitation and Nrsing. 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-11-20 2025-01-14 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2024-11-20 2025-01-14 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 2024-11-20 2025-01-14 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-11-20 2025-01-14 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 2024-11-20 2025-01-14 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 2024-11-20 2025-01-14 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 2024-11-20 2025-01-14 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 2024-11-20 2025-01-14 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-11-20 2025-01-14 N
Dispose of garbage and refuse properly. Health 2024-11-20 2025-01-14 N
Provide and implement an infection prevention and control program. Health 2024-11-20 2025-01-14 N
Post nurse staffing information every day. Health 2024-11-20 2025-01-14 Y
Have exits that are accessible at all times. Fire Safety 2024-11-20 2024-12-30 N
Use approved construction type or materials. Fire Safety 2022-11-18 2023-01-02 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 2022-11-15 2022-12-30 N
Ensure each resident receives an accurate assessment. Health 2022-11-15 2022-12-30 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 2022-11-15 2022-12-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-11-15 2022-12-30 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-11-18 2022-12-21 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-01-22 2020-03-09 N

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