CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Luxe Rehabilitation and Care Center
A list of the most recent deficiencies for Luxe Rehabilitation and Care 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 Luxe Rehabilitation and Care 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-29 | 2024-10-09 | 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 | 2024-08-29 | 2024-10-09 | N |
| Respond appropriately to all alleged violations. | Health | 2024-08-29 | 2024-10-09 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-08-29 | 2024-10-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-08-29 | 2024-10-09 | 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 | 2024-08-29 | 2024-10-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-29 | 2024-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-29 | 2024-10-09 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-08-29 | 2024-10-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-29 | 2024-10-09 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-08-29 | 2024-10-09 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-08-29 | 2024-10-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-29 | 2024-10-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-29 | 2024-10-09 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-29 | 2024-10-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-29 | 2024-10-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-29 | 2024-10-09 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-29 | 2024-10-09 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-08-29 | 2024-10-09 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-29 | 2024-10-09 | Y |
| 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 | 2024-08-22 | 2024-10-02 | N |
| Construct fire resistant interior walls. | Fire Safety | 2024-08-22 | 2024-10-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-08-22 | 2024-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-10-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-22 | 2024-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-22 | 2024-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-29 | 2024-09-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-14 | 2024-07-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-11 | 2024-07-05 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-06-11 | 2024-07-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-11 | 2024-07-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-11 | 2024-07-05 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-05-01 | 2024-05-13 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-01 | 2024-05-13 | Y |
| 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 | 2024-04-01 | 2024-05-13 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-01 | 2024-05-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-01 | 2024-05-13 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-01 | 2024-05-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-01 | 2024-05-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-01 | 2024-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-01 | 2024-05-13 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-12 | 2024-03-06 | 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 | 2024-01-26 | 2024-03-06 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-26 | 2024-01-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-12 | 2024-01-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-12 | 2024-01-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-12 | 2024-01-03 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-12 | 2023-07-05 | 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 | 2023-06-12 | 2023-07-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-12 | 2023-07-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-12 | 2023-07-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-06-12 | 2023-07-05 | N |
| Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2023-06-12 | 2023-07-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-12 | 2023-07-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-12 | 2023-07-05 | 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 | 2023-06-12 | 2023-07-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-12 | 2023-07-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-12 | 2023-07-05 | 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 | 2023-06-12 | 2023-07-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-12 | 2023-07-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-12 | 2023-07-05 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-06-12 | 2023-07-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-12 | 2023-07-05 | 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 | 2023-06-12 | 2023-07-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-12 | 2023-07-05 | 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 | 2023-06-12 | 2023-07-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-12 | 2023-07-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-12 | 2023-07-05 | 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 | 2023-06-12 | 2023-07-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-12 | 2023-07-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-06-07 | 2023-07-05 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-01-11 | 2023-01-18 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-10-04 | 2022-10-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-10-04 | 2022-10-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-04 | 2022-10-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-10-04 | 2022-10-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-04 | 2022-10-17 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-10-04 | 2022-10-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-06-28 | 2021-07-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-06-28 | 2021-07-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-28 | 2021-07-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-28 | 2021-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-28 | 2021-07-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-28 | 2021-07-08 | N |
| 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 | 2021-06-28 | 2021-07-08 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-06-28 | 2021-07-08 | 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 | 2021-06-28 | 2021-07-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-06-28 | 2021-07-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-28 | 2021-07-08 | N |
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