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Deficiency Records for Liberty Commons Rehabilitation Center

A list of the most recent deficiencies for Liberty Commons 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 Liberty Commons 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?
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-11-02 2023-12-15 N
Ensure each resident receives an accurate assessment. Health 2023-11-02 2023-12-15 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 2023-11-02 2023-12-15 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-11-02 2023-12-15 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-11-02 2023-12-15 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 2023-11-02 2023-12-15 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2023-11-02 2023-12-15 Y
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2023-11-02 2023-12-15 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-11-02 2023-12-15 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 2023-11-28 2023-12-15 N
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. Fire Safety 2023-11-28 2023-12-15 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-11-28 2023-12-15 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-02 2023-11-02 Y
Install noncombustible or limited-combustible interior walls. Fire Safety 2022-08-03 2022-09-12 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-08-03 2022-09-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2022-08-03 2022-09-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-08-03 2022-09-12 N
Ensure each resident receives an accurate assessment. Health 2022-07-15 2022-08-12 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2022-07-15 2022-08-12 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-07-15 2022-08-11 N
Ensure staff are vaccinated for COVID-19 Health 2022-07-15 2022-08-10 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-07-15 2022-08-05 N
Perform COVID19 testing on residents and staff. Health 2022-07-15 2022-08-05 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2022-07-15 2022-08-04 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-07-15 2022-07-15 Y
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2021-05-03 2021-05-28 N
Ensure each resident receives an accurate assessment. Health 2021-05-03 2021-05-28 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 2021-05-03 2021-05-28 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2021-05-03 2021-05-28 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-05-03 2021-05-28 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-03 2021-05-28 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 2021-05-03 2021-05-28 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2021-05-03 2021-05-28 N
Post nurse staffing information every day. Health 2021-05-03 2021-05-28 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2021-05-03 2021-05-28 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 2021-05-03 2021-05-28 N
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. Health 2021-05-03 2021-05-28 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-03 2021-05-28 N
Keep all essential equipment working safely. Health 2021-05-03 2021-05-28 N

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