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Deficiency Records for New Lebanon Rehabilitation and Healthcare Center
A list of the most recent deficiencies for New Lebanon Rehabilitation and Healthcare 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 New Lebanon Rehabilitation and Healthcare 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 | 2024-09-18 | 2024-10-17 | N |
Respond appropriately to all alleged violations. | Health | 2024-09-18 | 2024-10-17 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-09-18 | 2024-10-17 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-09-18 | 2024-10-17 | N |
Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-09-18 | 2024-10-17 | N |
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2024-09-18 | 2024-10-17 | 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 | 2024-09-18 | 2024-10-17 | 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 | 2024-09-18 | 2024-10-17 | N |
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-09-18 | 2024-10-17 | N |
Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-09-18 | 2024-10-17 | N |
Post nurse staffing information every day. | Health | 2024-09-18 | 2024-10-17 | N |
Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-09-18 | 2024-10-17 | N |
Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-09-18 | 2024-10-17 | N |
Provide or obtain dental services for each resident. | Health | 2024-09-18 | 2024-10-17 | N |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-09-18 | 2024-10-17 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-09-18 | 2024-10-17 | N |
Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-09-18 | 2024-10-17 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-09-18 | 2024-10-17 | N |
Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2024-09-18 | 2024-10-17 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-09-18 | 2024-10-17 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2024-09-18 | 2024-10-17 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-18 | 2024-10-17 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-09-18 | 2024-10-17 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-09-18 | 2024-10-17 | Y |
Ensure each resident receives an accurate assessment. | Health | 2024-09-18 | 2024-10-17 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-18 | 2024-10-17 | Y |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-09-18 | 2024-10-17 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-09-18 | 2024-10-17 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-18 | 2024-10-17 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-18 | 2024-10-17 | 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 | 2024-09-18 | 2024-10-17 | Y |
Provide and implement an infection prevention and control program. | Health | 2024-09-18 | 2024-10-17 | Y |
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-09-18 | 2024-10-17 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-09-18 | 2024-10-17 | Y |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-08-21 | 2024-10-17 | 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 | 2024-08-21 | 2024-10-17 | 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 | 2024-08-21 | 2024-10-17 | N |
Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Provide properly sized and located linen or trash receptacles. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-21 | 2024-10-17 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-11 | 2024-07-27 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-02 | 2024-07-27 | 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 | 2024-02-28 | 2024-03-13 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-17 | 2024-01-31 | Y |
Provide a written emergency evacuation plan. | Fire Safety | 2023-04-17 | 2023-04-26 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-10 | 2023-03-01 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-10 | 2023-03-01 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-11-23 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-13 | 2022-11-23 | N |
Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-10-13 | 2022-11-23 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-10-13 | 2022-11-23 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-13 | 2022-11-23 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-13 | 2022-11-23 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-10-13 | 2022-11-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-10-13 | 2022-11-23 | N |
Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2022-10-13 | 2022-11-23 | N |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-10-13 | 2022-11-23 | N |
Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-03 | 2022-11-23 | 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 | 2022-10-03 | 2022-11-23 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-03 | 2022-11-23 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-06 | 2022-07-25 | Y |
Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-06 | 2022-07-25 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-06 | 2022-07-25 | Y |
Ensure that residents are free from significant medication errors. | Health | 2022-07-06 | 2022-07-25 | 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 | 2022-03-24 | 2022-04-19 | Y |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-03-24 | 2022-04-19 | Y |
Respond appropriately to all alleged violations. | Health | 2022-03-24 | 2022-04-19 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-24 | 2022-04-19 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-24 | 2022-04-19 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-24 | 2022-04-19 | Y |
Have an agreement with an approved laboratory to obtain services, if on-site laboratory services aren't provided. | Health | 2022-03-24 | 2022-04-19 | Y |
Provide and implement an infection prevention and control program. | Health | 2022-03-24 | 2022-04-19 | Y |
Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-03-24 | 2022-04-19 | Y |
Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-12-12 | 2019-12-27 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-12 | 2019-12-27 | N |
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