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Deficiency Records for River Trace Nursing and Rehabilitation Center
A list of the most recent deficiencies for River Trace 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 River Trace 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 | 2024-08-21 | 2024-11-03 | 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 | 2024-08-21 | 2024-11-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-21 | 2024-11-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-21 | 2024-10-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-08-21 | 2024-10-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-21 | 2024-10-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-21 | 2024-10-03 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-21 | 2024-10-03 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-08-21 | 2024-10-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-21 | 2024-10-03 | 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 | 2024-07-26 | 2024-08-12 | 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 | 2024-07-26 | 2024-08-12 | 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 | 2024-07-26 | 2024-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-26 | 2024-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-21 | 2024-05-24 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-04 | 2023-08-25 | 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 | 2023-05-31 | 2023-07-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-31 | 2023-07-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-31 | 2023-07-13 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-04-27 | 2023-05-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-27 | 2023-05-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-27 | 2023-05-25 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-27 | 2023-05-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-27 | 2023-05-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-27 | 2023-05-25 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-04-27 | 2023-05-25 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | 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 |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-04-27 | 2023-05-25 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-27 | 2023-05-25 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-04-27 | 2023-05-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-04-27 | 2023-05-25 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-12-16 | 2022-01-12 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-12-16 | 2022-01-12 | 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 | 2021-12-16 | 2022-01-12 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-12-16 | 2022-01-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-16 | 2022-01-12 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-12-16 | 2022-01-12 | 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 | 2021-12-16 | 2022-01-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-12-16 | 2022-01-12 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-12-16 | 2022-01-12 | N |
| Post nurse staffing information every day. | Health | 2021-12-16 | 2022-01-12 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-12-16 | 2022-01-12 | 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 | 2021-12-16 | 2022-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-16 | 2022-01-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-16 | 2022-01-12 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-12-16 | 2022-01-12 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-16 | 2022-01-12 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-12-16 | 2022-01-12 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-16 | 2022-01-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-16 | 2022-01-12 | Y |
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