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Deficiency Records for Raleigh Rehabilitation Center

A list of the most recent deficiencies for Raleigh Rehabilitation 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 Raleigh Rehabilitation 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?
Provide large enough exits. Fire Safety 2023-11-07 2023-12-22 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-11-07 2023-12-22 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-11-07 2023-12-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-11-07 2023-12-22 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-11-07 2023-12-22 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-11-07 2023-12-22 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-11-07 2023-12-22 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-10-12 2023-11-07 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-10-12 2023-11-07 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-12 2023-11-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-12 2023-11-07 N
Provide activities to meet all resident's needs. Health 2023-10-12 2023-11-07 N
Post nurse staffing information every day. Health 2023-10-12 2023-11-07 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 2023-10-12 2023-11-07 N
Dispose of garbage and refuse properly. Health 2023-10-12 2023-11-07 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-10-12 2023-11-07 N
Provide and implement an infection prevention and control program. Health 2023-10-12 2023-11-07 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2023-10-12 2023-11-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-10-12 2023-07-26 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-07-18 2023-07-15 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-22 2023-03-17 Y
Ensure each resident receives an accurate assessment. Health 2022-06-23 2022-08-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-06-23 2022-08-25 N
Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. Health 2022-06-23 2022-08-25 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2022-06-23 2022-08-25 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-06-23 2022-08-25 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 2022-06-23 2022-08-25 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-23 2022-08-25 N
Provide and implement an infection prevention and control program. Health 2022-06-23 2022-08-25 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-07-20 2022-07-22 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-07-20 2022-07-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-06-23 2022-07-15 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-07-16 2021-08-04 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2021-07-16 2021-08-04 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2021-07-16 2021-08-04 N
Ensure each resident receives an accurate assessment. Health 2021-07-16 2021-08-04 N
Ensure medication error rates are not 5 percent or greater. Health 2021-07-16 2021-08-04 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 2021-07-16 2021-08-04 N
Keep all essential equipment working safely. Health 2021-07-16 2021-08-04 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-07-16 2021-07-06 N

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