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Deficiency Records for Aristocrat Berea Healthcare and Rehabilitation
A list of the most recent deficiencies for Aristocrat Berea Healthcare 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 Aristocrat Berea Healthcare 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? |
|---|---|---|---|---|
| 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 | 2024-08-08 | 2024-08-09 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-08 | 2024-08-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-08 | 2024-08-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-08-09 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-03 | 2024-08-08 | 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 | 2024-01-11 | 2024-01-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-11 | 2024-01-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-11 | 2024-01-26 | 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 | 2024-01-11 | 2024-01-26 | Y |
| Install resident room doors of proper design and width. | Fire Safety | 2024-01-09 | 2024-01-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-09 | 2024-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-09 | 2024-01-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-09 | 2024-01-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-09 | 2024-01-26 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-11-06 | 2023-11-14 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-03-22 | 2023-04-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-22 | 2023-04-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-17 | 2022-11-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-07 | 2022-06-24 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-14 | 2022-02-11 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-14 | 2022-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-14 | 2022-02-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-24 | 2021-08-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-05-24 | 2021-08-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-05-24 | 2021-08-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-24 | 2021-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-24 | 2021-08-17 | 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 | 2021-05-24 | 2021-08-17 | 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 | 2021-05-24 | 2021-08-17 | 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 | 2021-05-24 | 2021-08-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-24 | 2021-08-17 | 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 | 2021-05-24 | 2021-08-17 | 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 | 2021-05-24 | 2021-08-17 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-05-24 | 2021-08-17 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-05-24 | 2021-08-17 | 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 | 2021-05-24 | 2021-08-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-24 | 2021-08-17 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-05-24 | 2021-08-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-05-19 | 2021-08-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-05-19 | 2021-08-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-19 | 2021-08-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-04 | 2020-01-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-12-04 | 2020-01-08 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-12-04 | 2020-01-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-12-04 | 2020-01-08 | 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 | 2019-12-04 | 2020-01-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2019-12-04 | 2020-01-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-04 | 2020-01-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-12-04 | 2020-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-04 | 2020-01-08 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2019-12-04 | 2020-01-08 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-12-04 | 2020-01-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-12-04 | 2020-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-04 | 2020-01-08 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-12-04 | 2020-01-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-04 | 2020-01-08 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| 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 | 2019-11-19 | 2020-01-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-19 | 2020-01-08 | N |
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