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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 and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-11-12 | 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 | 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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