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Deficiency Records for Saturn Nursing and Rehabilitation
A list of the most recent deficiencies for Saturn Nursing 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 Saturn Nursing 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-07-17 | 2024-08-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-17 | 2024-08-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-17 | 2024-08-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-07-17 | 2024-08-02 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2024-07-17 | 2024-08-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-17 | 2024-08-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-07-17 | 2024-08-02 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-21 | 2024-07-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-21 | 2024-07-25 | 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 | 2024-06-21 | 2024-07-25 | N |
| Post nurse staffing information every day. | Health | 2024-06-21 | 2024-07-25 | 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 | 2024-06-21 | 2024-07-25 | N |
| 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 | 2024-06-21 | 2024-07-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-21 | 2024-07-25 | N |
| Dispose of garbage and refuse properly. | Health | 2024-06-21 | 2024-07-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-21 | 2024-07-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-21 | 2024-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-21 | 2024-07-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-06-21 | 2024-07-25 | Y |
| 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 | 2024-06-21 | 2024-07-25 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-06-21 | 2024-07-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-06-21 | 2024-07-25 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-06-21 | 2024-07-18 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-06-21 | 2024-07-18 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-06-21 | 2024-07-18 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-29 | 2024-05-09 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-04-29 | 2024-05-09 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-29 | 2024-05-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-04-29 | 2024-04-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-04-29 | 2024-04-29 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-03-09 | 2023-04-24 | 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 | 2023-03-09 | 2023-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-09 | 2023-04-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-10 | 2023-03-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-10 | 2023-03-10 | 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 | 2023-02-10 | 2023-03-10 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2023-02-10 | 2023-03-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-02-10 | 2023-03-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-10 | 2023-03-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-10 | 2023-03-10 | 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 | 2023-02-10 | 2023-03-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-02-10 | 2023-03-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-10 | 2023-03-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-10 | 2023-03-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-02-10 | 2023-03-10 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-10 | 2023-03-10 | 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 | 2023-02-10 | 2023-03-10 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-02-10 | 2023-03-10 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-29 | 2022-10-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-29 | 2022-10-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-29 | 2022-10-22 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-10-22 | Y |
| 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 | 2022-09-29 | 2022-10-22 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-29 | 2022-10-22 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-05 | 2022-05-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-05 | 2022-05-27 | Y |
| Post nurse staffing information every day. | Health | 2022-04-06 | 2022-05-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-10 | 2021-12-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-11-10 | 2021-12-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-10 | 2021-12-10 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-10 | 2021-12-10 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-10 | 2021-12-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-11-10 | 2021-12-10 | Y |
| 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 | 2021-11-10 | 2021-12-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-10 | 2021-12-10 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-10 | 2021-12-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-08-13 | 2021-11-10 | 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 | 2021-08-13 | 2021-09-30 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2021-08-13 | 2021-09-30 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-08-13 | 2021-09-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-08-13 | 2021-09-30 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-08-13 | 2021-09-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-08-13 | 2021-09-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-08-13 | 2021-09-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-13 | 2021-09-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-08-13 | 2021-09-30 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-08-13 | 2021-09-30 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-08-13 | 2021-09-30 | N |
| 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 | 2021-08-13 | 2021-09-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-13 | 2021-09-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-08-13 | 2021-09-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-13 | 2021-09-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-03 | 2021-09-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-03 | 2021-09-24 | N |
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