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Deficiency Records for Northchase Nursing and Rehabilitation Center
A list of the most recent deficiencies for Northchase 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 Northchase 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-06-19 | 2024-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-06-19 | 2024-07-31 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-06-19 | 2024-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-19 | 2024-07-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-17 | 2024-06-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-17 | 2024-06-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-17 | 2024-06-24 | 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 | 2024-05-17 | 2024-06-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-05-17 | 2024-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-17 | 2024-06-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-17 | 2024-06-24 | 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 | 2024-05-17 | 2024-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-17 | 2024-06-24 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-17 | 2024-06-24 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-17 | 2024-06-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-17 | 2024-06-24 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-17 | 2024-06-24 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-17 | 2024-06-24 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-03 | 2023-10-02 | 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 | 2023-02-22 | 2023-04-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-22 | 2023-04-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-02-22 | 2023-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-22 | 2023-04-07 | 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 | 2023-01-26 | 2023-02-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-26 | 2023-02-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-26 | 2023-02-13 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-26 | 2023-02-13 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-26 | 2023-02-13 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2022-06-10 | 2022-07-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-06-10 | 2022-07-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-05 | 2021-12-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-05 | 2021-12-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-05 | 2021-12-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-05 | 2021-12-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-05 | 2021-12-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-11-05 | 2021-12-03 | N |
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