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Deficiency Records for Noble Health Care Center
A list of the most recent deficiencies for Noble Health Care 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 Noble Health Care 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? |
|---|---|---|---|---|
| Have exits that are accessible at all times. | Fire Safety | 2024-08-13 | 2024-10-02 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-08-13 | 2024-10-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-08-13 | 2024-10-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-13 | 2024-10-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-13 | 2024-10-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-08-13 | 2024-10-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-08 | 2024-10-01 | N |
| 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 | 2024-08-08 | 2024-10-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-08 | 2024-10-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-08 | 2024-10-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-08 | 2024-10-01 | 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 | 2024-08-08 | 2024-10-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-08 | 2024-10-01 | 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 | 2024-08-08 | 2024-10-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-08-08 | 2024-10-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-08 | 2024-10-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-08 | 2024-10-01 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-08 | 2024-10-01 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-14 | 2023-09-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-14 | 2023-09-29 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-14 | 2023-09-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-09-29 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-14 | 2023-09-29 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-09-14 | 2023-09-29 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-14 | 2023-09-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-11 | 2023-09-01 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-07-11 | 2023-09-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-07-11 | 2023-09-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-11 | 2023-09-01 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-11 | 2023-09-01 | 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 | 2023-07-11 | 2023-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-07-11 | 2023-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-11 | 2023-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-07-11 | 2023-09-01 | 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 | 2023-07-11 | 2023-09-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-11 | 2023-09-01 | 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 | 2023-07-11 | 2023-09-01 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-07-11 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-11 | 2023-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-11 | 2023-09-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-16 | 2023-06-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-16 | 2023-06-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-16 | 2023-06-20 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-16 | 2023-06-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-16 | 2023-06-20 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-15 | 2023-01-15 | 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 | 2022-12-15 | 2023-01-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-15 | 2023-01-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-15 | 2023-01-15 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-15 | 2023-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-20 | 2022-08-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-10 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-10 | 2022-02-18 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-12-08 | 2022-02-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-08 | 2022-02-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-08 | 2022-02-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-12-08 | 2022-02-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-08 | 2022-02-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-08 | 2022-02-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-08 | 2022-02-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-08 | 2022-02-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-08 | 2022-02-07 | 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 | 2021-12-08 | 2022-02-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-12-08 | 2022-02-07 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-12-08 | 2022-02-07 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-08 | 2022-02-07 | Y |
| 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 | 2021-11-30 | 2022-02-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-11-30 | 2022-02-07 | 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 | 2021-11-30 | 2022-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-30 | 2022-02-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-30 | 2022-02-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-11-30 | 2022-02-07 | N |
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