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Deficiency Records for Carolina Rivers Nursing and Rehabilitation Center

A list of the most recent deficiencies for Carolina Rivers 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 Carolina Rivers 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?
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-06-15 2023-07-30 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-06-15 2023-07-30 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-15 2023-06-12 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 2023-05-15 2023-06-10 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-15 2023-06-10 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-07 2022-09-01 Y
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. Health 2022-01-14 2022-02-11 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2022-01-14 2022-02-11 Y
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-01-14 2022-02-11 Y
Ensure each resident receives an accurate assessment. Health 2022-01-14 2022-02-11 Y
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 2022-01-14 2022-02-11 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 2019-10-30 2019-12-14 N
Install an approved automatic sprinkler system. Fire Safety 2019-10-30 2019-12-14 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2019-10-30 2019-12-14 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2019-10-30 2019-12-14 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2019-09-27 2019-10-25 N
Ensure each resident receives an accurate assessment. Health 2019-09-27 2019-10-25 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2019-09-27 2019-10-25 N

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