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Deficiency Records for Accordius Health and Rehabilitation

A list of the most recent deficiencies for Accordius Health and Rehabilitation. 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 Accordius Health and Rehabilitation. 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?
Provide properly protected cooking facilities. Fire Safety 2024-09-25 2024-11-07 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-09-25 2024-11-07 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2024-08-14 2024-08-15 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-08-14 2024-08-15 N
Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. Fire Safety 2023-06-13 2023-09-06 N
Install an approved automatic sprinkler system. Fire Safety 2023-06-13 2023-09-06 N
Properly install and monitor supervisory attachments on automatic sprinkler systems. Fire Safety 2023-06-13 2023-09-06 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-06-13 2023-09-06 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-06-13 2023-09-06 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-06-13 2023-09-06 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-05-11 2023-05-19 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-11 2023-05-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-11 2023-05-19 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-05-11 2023-05-19 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2023-05-11 2023-05-19 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-05-11 2023-05-19 Y
Allow residents to self-administer drugs if determined clinically appropriate. Health 2022-03-17 2022-04-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-17 2022-04-08 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 2022-03-17 2022-04-08 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 2022-03-17 2022-04-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-03-17 2022-04-08 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 2022-03-17 2022-04-08 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 2022-03-17 2022-04-08 N
Ensure that residents are free from significant medication errors. Health 2022-03-17 2022-04-08 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-03-17 2022-04-08 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-03-17 2022-04-08 Y

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