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Deficiency Records for Catherine's Care Center, Inc

A list of the most recent deficiencies for Catherine's Care Center, Inc. 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 Catherine's Care Center, Inc. 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2023-05-30 2023-07-08 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-05-30 2023-07-08 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-05-30 2023-07-08 N
Ensure each resident receives an accurate assessment. Health 2023-05-30 2023-07-08 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2023-05-30 2023-07-08 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2023-05-30 2023-07-08 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-05-30 2023-07-08 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-05-30 2023-07-08 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 2023-05-30 2023-07-08 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-05-30 2023-07-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-05-30 2023-07-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-05-30 2023-07-08 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 2023-05-30 2023-07-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-05-30 2023-07-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-05-30 2023-07-08 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-05-30 2023-07-08 N
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 2023-05-30 2023-07-08 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 2023-05-30 2023-07-08 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 2023-05-30 2023-07-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-05-30 2023-07-08 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-30 2023-07-08 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-05-30 2023-07-08 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-05-30 2023-07-08 N
Provide and implement an infection prevention and control program. Health 2023-05-30 2023-07-08 N
Implement a program that monitors antibiotic use. Health 2023-05-30 2023-07-08 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2023-05-30 2023-07-08 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-05-30 2023-07-08 N
Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. Health 2023-05-30 2023-07-08 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2021-05-21 2021-07-12 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2021-05-21 2021-07-12 N
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. Health 2021-05-21 2021-07-12 N
Assure that each resident?s assessment is updated at least once every 3 months. Health 2021-05-21 2021-07-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2021-05-21 2021-07-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-05-21 2021-07-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-05-21 2021-07-12 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 2021-05-21 2021-07-12 N
Provide enough food/fluids to maintain a resident's health. Health 2021-05-21 2021-07-12 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2021-05-21 2021-07-12 N
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 2021-05-21 2021-07-12 N
Observe each nurse aide's job performance and give regular training. Health 2021-05-21 2021-07-12 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2021-05-21 2021-07-12 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 2021-05-21 2021-07-12 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-21 2021-07-12 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-05-21 2021-07-12 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2021-05-21 2021-07-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2021-05-21 2021-07-12 N
Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. Health 2020-02-21 2020-03-27 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2020-02-21 2020-03-27 N
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. Health 2020-02-21 2020-03-27 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2020-02-21 2020-03-27 N
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. Health 2020-02-21 2020-03-27 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2020-02-21 2020-03-27 N
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2020-02-21 2020-03-27 N
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2020-02-21 2020-03-27 N
Provide appropriate foot care. Health 2020-02-21 2020-03-27 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2020-02-21 2020-03-27 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2020-02-21 2020-03-27 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2020-02-21 2020-03-27 N
Provide or obtain dental services for each resident. Health 2020-02-21 2020-03-27 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-21 2020-03-27 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2020-02-21 2020-03-27 N
Provide and implement an infection prevention and control program. Health 2020-02-21 2020-03-27 N
Implement a program that monitors antibiotic use. Health 2020-02-21 2020-03-27 N
Conduct testing and exercise requirements. Fire Safety 2020-02-05 2020-03-27 N
Provide properly protected cooking facilities. Fire Safety 2020-02-05 2020-03-27 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2020-02-05 2020-03-27 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2020-02-05 2020-03-27 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-02-05 2020-03-27 N

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