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Deficiency Records for Universal Health Care/blumenthal
A list of the most recent deficiencies for Universal Health Care/blumenthal. 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 Universal Health Care/blumenthal. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-07 | 2023-10-01 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-05-25 | 2023-07-14 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-05-25 | 2023-07-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-25 | 2023-07-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-25 | 2023-07-14 | 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 | 2023-05-25 | 2023-07-14 | 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 | 2023-05-25 | 2023-07-14 | 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 | 2023-05-25 | 2023-07-14 | 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 | 2023-05-25 | 2023-07-14 | 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 | 2023-05-25 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-25 | 2023-07-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-05-25 | 2023-07-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-25 | 2023-07-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-07-14 | Y |
| 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 | 2023-05-25 | 2023-07-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-25 | 2023-07-14 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-05-25 | 2023-07-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-14 | 2023-07-14 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-05-25 | 2023-07-14 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-20 | 2023-07-13 | 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 | 2023-06-20 | 2023-07-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-20 | 2023-07-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-20 | 2023-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-20 | 2023-07-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-20 | 2023-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-20 | 2023-07-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-20 | 2023-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-11 | 2022-11-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-11 | 2022-11-03 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-08-04 | 2022-10-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-04 | 2022-10-11 | 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 | 2022-08-04 | 2022-10-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-04 | 2022-10-11 | 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 | 2022-08-04 | 2022-10-11 | 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 | 2022-08-04 | 2022-10-11 | 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 | 2022-08-04 | 2022-10-11 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-04 | 2022-10-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-04 | 2022-10-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-08-04 | 2022-10-11 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-08-04 | 2022-10-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-04 | 2022-10-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-04 | 2022-10-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-04 | 2022-10-11 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-04 | 2022-10-11 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-04 | 2022-10-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-04 | 2022-10-11 | Y |
| Meet other general requirements. | Fire Safety | 2022-08-30 | 2022-09-30 | 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 | 2022-08-30 | 2022-09-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-30 | 2022-09-30 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-08-04 | 2022-09-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-04 | 2022-09-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-04 | 2022-09-01 | 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 | 2022-08-04 | 2022-09-01 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-07-28 | 2021-08-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-28 | 2021-08-30 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-06-24 | 2021-07-22 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-24 | 2021-07-22 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-06-24 | 2021-07-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-24 | 2021-07-22 | 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 | 2021-06-24 | 2021-07-22 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-24 | 2021-07-22 | 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 | 2021-06-24 | 2021-07-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-24 | 2021-07-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-24 | 2021-07-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-24 | 2021-07-22 | 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 | 2021-06-24 | 2021-07-22 | 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 | 2021-06-24 | 2021-07-22 | 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 | 2021-06-24 | 2021-07-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-24 | 2021-07-22 | 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 | 2021-06-24 | 2021-07-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-24 | 2021-07-22 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-24 | 2021-07-22 | N |
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