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Deficiency Records for Pilot Butte Rehabilitation Center
A list of the most recent deficiencies for Pilot Butte Rehabilitation 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 Pilot Butte Rehabilitation 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? |
|---|---|---|---|---|
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-31 | 2024-07-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-31 | 2024-07-20 | 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 | 2024-05-31 | 2024-07-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-31 | 2024-07-20 | N |
| 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 | 2024-05-31 | 2024-07-20 | 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 | 2024-05-31 | 2024-07-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-31 | 2024-07-20 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-05-31 | 2024-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-31 | 2024-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-31 | 2024-07-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-31 | 2024-07-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-31 | 2024-07-20 | 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 | 2024-05-31 | 2024-07-20 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-31 | 2024-07-20 | N |
| 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 | 2024-05-31 | 2024-07-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-31 | 2024-07-20 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-05-31 | 2024-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-31 | 2024-07-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-05-31 | 2024-07-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-31 | 2024-07-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Meet other general requirements. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-29 | 2024-07-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-17 | 2024-05-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-04-17 | 2024-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-17 | 2024-05-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-25 | 2023-04-03 | 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 | 2023-02-25 | 2023-04-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-25 | 2023-04-03 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2023-02-25 | 2023-04-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-25 | 2023-04-03 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-25 | 2023-04-03 | N |
| Provide appropriate foot care. | Health | 2023-02-25 | 2023-04-03 | N |
| 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 | 2023-02-25 | 2023-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-25 | 2023-04-03 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-02-25 | 2023-04-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-02-25 | 2023-04-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-25 | 2023-04-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-25 | 2023-04-03 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-03-02 | 2023-04-03 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-03-02 | 2023-04-03 | 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 | 2023-03-02 | 2023-04-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-02 | 2023-04-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-02 | 2023-04-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-02 | 2023-04-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-14 | 2018-10-23 | 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 | 2018-09-14 | 2018-10-23 | 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 | 2018-09-14 | 2018-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-14 | 2018-10-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-09-06 | 2018-10-23 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-09-06 | 2018-10-23 | N |
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