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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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