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Deficiency Records for Premier Living and Rehab Center
A list of the most recent deficiencies for Premier Living and Rehab 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 Premier Living and Rehab 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 generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-01 | 2024-09-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-02 | 2024-09-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-02 | 2024-09-15 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-02 | 2024-09-15 | Y |
| 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 | 2024-07-02 | 2024-09-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-02 | 2024-09-15 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-07-02 | 2024-09-15 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-02 | 2024-08-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2024-07-02 | 2024-08-21 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-02 | 2024-08-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-07-02 | 2024-08-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-02 | 2024-08-21 | 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 | 2024-07-02 | 2024-08-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-07-02 | 2024-08-21 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-07-02 | 2024-08-21 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-07-02 | 2024-08-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-02 | 2024-08-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-07-02 | 2024-08-21 | 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 | 2024-07-02 | 2024-08-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-02 | 2024-08-21 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-07-02 | 2024-08-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-02 | 2024-08-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-02 | 2024-08-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-02 | 2024-08-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-07-02 | 2024-08-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-02 | 2024-08-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-08-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-02 | 2024-08-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-02 | 2024-08-21 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-02 | 2024-08-21 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-02 | 2024-08-21 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-01 | 2024-08-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-01 | 2024-08-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-01 | 2024-08-16 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-06 | 2023-06-23 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-06-06 | 2023-06-23 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-06 | 2023-04-27 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-06 | 2023-04-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-04-06 | 2023-04-27 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-04-06 | 2023-04-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-04-06 | 2023-04-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-06 | 2023-04-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-06 | 2023-04-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-06-09 | 2022-06-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-09 | 2022-06-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-12 | 2022-05-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-12 | 2022-05-20 | 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 | 2022-05-12 | 2022-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-05-20 | N |
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