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Deficiency Records for Abbotts Creek Center

A list of the most recent deficiencies for Abbotts Creek 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 Abbotts Creek 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?
Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. Fire Safety 2024-01-11 2024-02-02 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-12-13 2024-01-10 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-13 2024-01-10 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 2023-12-13 2024-01-10 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 2023-12-13 2024-01-10 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-12-13 2024-01-10 N
Meet other general requirements. Fire Safety 2022-08-11 2022-08-29 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-08-11 2022-08-29 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-08-11 2022-08-29 N
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-07-11 2022-08-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-07-11 2022-08-01 N
Ensure each resident receives an accurate assessment. Health 2022-07-11 2022-08-01 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-07-11 2022-08-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-11 2022-08-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-11 2022-08-01 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-11 2022-08-01 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2022-07-11 2022-08-01 N
Ensure medication error rates are not 5 percent or greater. Health 2022-07-11 2022-08-01 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-07-11 2022-08-01 Y
Ensure the activities program is directed by a qualified professional. Health 2022-04-06 2022-04-21 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-02-05 2021-02-26 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 2021-02-05 2021-02-26 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 2021-02-05 2021-02-26 N
Provide timely, quality laboratory services/tests to meet the needs of residents. Health 2021-02-05 2021-02-26 N
Provide and implement an infection prevention and control program. Health 2021-02-05 2021-02-26 N

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