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Deficiency Records for Medina Center For Rehabilitation and Nursing

A list of the most recent deficiencies for Medina Center For Rehabilitation and Nursing. 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 Medina Center For Rehabilitation and Nursing. 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 medication error rates are not 5 percent or greater. Health 2024-06-10 2024-06-11 Y
Ensure that residents are free from significant medication errors. Health 2024-06-10 2024-06-11 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-10 2024-06-11 Y
Provide and implement an infection prevention and control program. Health 2024-06-10 2024-06-11 Y
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 2024-03-26 2024-03-29 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-03-26 2024-03-29 Y
Ensure that residents are free from significant medication errors. Health 2024-03-26 2024-03-29 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-03-26 2024-03-29 Y
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 2024-03-06 2024-03-29 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2024-03-06 2024-03-29 Y
Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. Health 2024-03-06 2024-03-29 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2024-03-06 2024-03-29 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-02-12 2024-03-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-12 2024-03-29 Y
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2024-02-12 2024-03-29 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-12-28 2024-01-12 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-12-12 2024-01-12 Y
Respond appropriately to all alleged violations. Health 2023-12-12 2024-01-12 Y
Prepare residents for a safe transfer or discharge from the nursing home. Health 2023-12-12 2024-01-12 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-12-12 2024-01-12 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-12 2024-01-12 Y
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 2023-12-12 2024-01-12 Y
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2023-12-12 2024-01-12 Y
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 2023-12-12 2024-01-12 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-12-12 2024-01-12 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-12 2024-01-12 Y
Provide and implement an infection prevention and control program. Health 2023-12-12 2024-01-12 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-04-24 2023-05-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-04-24 2023-05-31 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 2023-04-24 2023-05-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-04-24 2023-05-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-04-24 2023-05-31 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 2023-04-24 2023-05-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-04-24 2023-05-31 N
Observe each nurse aide's job performance and give regular training. Health 2023-04-24 2023-05-31 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 2023-04-24 2023-05-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-04-24 2023-05-31 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-04-24 2023-05-31 N
Provide and implement an infection prevention and control program. Health 2023-04-24 2023-05-31 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-04-24 2023-05-31 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-04-19 2023-05-31 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 2023-04-19 2023-05-31 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 2023-04-19 2023-05-31 N
Provide properly protected cooking facilities. Fire Safety 2023-04-19 2023-05-31 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-04-19 2023-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-04-19 2023-05-31 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-04-19 2023-05-31 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-04-19 2023-05-31 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-04-19 2023-05-31 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-04-19 2023-05-31 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-04-19 2023-05-31 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-04-19 2023-05-31 N
Have proper medical gas storage and administration areas. Fire Safety 2023-04-19 2023-05-31 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2022-10-31 2022-11-01 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-10-31 2022-11-01 Y
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 2022-10-31 2022-11-01 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-06-08 2022-06-14 Y
Ensure that residents are free from significant medication errors. Health 2022-06-08 2022-06-14 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-04-14 2022-04-15 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-04-14 2022-04-15 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-04-14 2022-04-15 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-04-14 2022-04-15 Y
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 2022-04-14 2022-04-15 Y
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 2020-02-12 2020-03-16 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 2020-02-12 2020-03-16 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 2020-02-12 2020-03-16 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 2020-02-12 2020-03-16 N
Provide and implement an infection prevention and control program. Health 2020-02-12 2020-03-16 N
Implement a program that monitors antibiotic use. Health 2020-02-12 2020-03-16 N
Address subsistence needs for staff and patients. Fire Safety 2020-02-11 2020-03-16 N
Establish policies and procedures for volunteers. Fire Safety 2020-02-11 2020-03-16 N
Develop a communication plan. Fire Safety 2020-02-11 2020-03-16 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2020-02-11 2020-03-16 N
Install emergency lighting that can last at least 1 1/2 hours. Fire Safety 2020-02-11 2020-03-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-11 2020-03-16 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2020-02-11 2020-03-16 N
Install corridor and hallway doors that block smoke. Fire Safety 2020-02-11 2020-03-16 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2020-02-11 2020-03-16 N
Have an externally vented heating system. Fire Safety 2020-02-11 2020-03-16 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-11 2020-03-16 N
Have proper medical gas storage and administration areas. Fire Safety 2020-02-11 2020-03-16 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2018-12-13 2019-03-01 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2018-12-13 2019-03-01 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2018-12-13 2019-03-01 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2018-12-13 2019-03-01 N
Address patient/client population and determine types of services needed. Fire Safety 2018-12-10 2019-03-01 N
Include a process for Emergency Preparedness collaboration. Fire Safety 2018-12-10 2019-03-01 N
Establish procedures for tracking staff and patients during an emergency. Fire Safety 2018-12-10 2019-03-01 N
Establish policies and procedures for volunteers. Fire Safety 2018-12-10 2019-03-01 N
Establish roles under a Waiver declared by secretary. Fire Safety 2018-12-10 2019-03-01 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2018-12-10 2019-03-01 N
Provide family notifications of emergency plan. Fire Safety 2018-12-10 2019-03-01 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 2018-12-10 2019-03-01 N
Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. Fire Safety 2018-12-10 2019-03-01 N
Have exits that are accessible at all times. Fire Safety 2018-12-10 2019-03-01 N
Install proper backup exit lighting. Fire Safety 2018-12-10 2019-03-01 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 2018-12-10 2019-03-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-12-10 2019-03-01 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-12-10 2019-03-01 N
Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. Fire Safety 2018-12-10 2019-03-01 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2018-12-10 2019-03-01 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2018-12-10 2019-03-01 N
Have power receptacles that are properly grounded. Fire Safety 2018-12-10 2019-03-01 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2018-12-10 2019-03-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-12-10 2019-03-01 N

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