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Deficiency Records for Rae Ann Suburban
A list of the most recent deficiencies for Rae Ann Suburban. 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 Rae Ann Suburban. 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? |
---|---|---|---|---|
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-06-28 | 2024-06-30 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-03-19 | 2024-03-20 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-03-19 | 2024-03-20 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-29 | 2024-03-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-12-05 | 2024-01-03 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-13 | 2024-01-03 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-05 | 2024-01-02 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-13 | 2024-01-02 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-13 | 2024-01-02 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-23 | 2023-08-29 | Y |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-08-23 | 2023-08-29 | 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 | 2023-08-23 | 2023-08-29 | 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 | 2023-08-23 | 2023-08-29 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-23 | 2023-08-29 | Y |
Have policies on smoking. | Health | 2023-08-23 | 2023-08-29 | 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 | 2023-08-02 | 2023-08-03 | 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 | 2023-08-02 | 2023-08-03 | 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 | 2023-05-19 | 2023-05-20 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-19 | 2023-05-20 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-19 | 2023-05-20 | 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 | 2023-05-19 | 2023-05-20 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-23 | 2023-03-31 | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-23 | 2023-03-31 | Y |
Respond appropriately to all alleged violations. | Health | 2023-03-23 | 2023-03-31 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-08 | 2022-08-09 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-08 | 2022-08-09 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-03 | 2022-08-09 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-03 | 2022-08-09 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-03 | 2022-08-09 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-03 | 2022-08-09 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-03 | 2022-08-09 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-06 | 2019-10-18 | 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 | 2019-08-06 | 2019-10-03 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-06 | 2019-10-03 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2019-08-06 | 2019-10-03 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-08-08 | 2019-10-02 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-08 | 2019-10-02 | N |
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-08-08 | 2019-10-02 | N |
Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2018-06-27 | 2018-11-05 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-06-28 | 2018-08-01 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2018-06-28 | 2018-08-01 | 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 | 2018-06-28 | 2018-08-01 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-28 | 2018-08-01 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2018-06-27 | 2018-08-01 | N |
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