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Deficiency Records for Jacob's Creek Nursing and Rehabilitation Center

A list of the most recent deficiencies for Jacob's Creek Nursing and 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 Jacob's Creek Nursing and 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?
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-06-14 2023-07-05 N
Provide properly protected cooking facilities. Fire Safety 2023-06-14 2023-07-05 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2023-06-14 2023-07-05 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-06-14 2023-07-05 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-04-27 2023-05-25 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-04-27 2023-05-25 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2023-04-27 2023-05-25 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2023-04-27 2023-05-25 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2022-02-08 2022-03-10 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-01-11 2022-02-11 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-01-11 2022-02-11 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 2022-01-11 2022-02-11 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-01-11 2022-02-11 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2022-01-11 2022-02-11 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-01-11 2022-02-11 Y
Keep residents' personal and medical records private and confidential. Health 2022-01-11 2022-02-11 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 2022-01-11 2022-02-11 Y
Establish emergency prep training and testing. Fire Safety 2022-01-11 2022-02-11 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-03-12 2020-04-09 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 2020-03-12 2020-04-09 N
Ensure each resident receives an accurate assessment. Health 2020-03-12 2020-04-09 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2020-03-12 2020-04-09 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2020-03-12 2020-04-09 N
Provide appropriate foot care. Health 2020-03-12 2020-04-09 N
Observe each nurse aide's job performance and give regular training. Health 2020-03-12 2020-04-09 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 2020-03-12 2020-04-09 N

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