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Deficiency Records for Avamere Rehabilitation of Lebanon
A list of the most recent deficiencies for Avamere Rehabilitation of Lebanon. 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 Avamere Rehabilitation of Lebanon. 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 | 2024-07-19 | 2024-08-30 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-07-19 | 2024-08-30 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-19 | 2024-08-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-07-19 | 2024-08-30 | 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 | 2024-07-19 | 2024-08-30 | N |
| Provide activities to meet all resident's needs. | Health | 2024-07-19 | 2024-08-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-19 | 2024-08-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-19 | 2024-08-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-19 | 2024-08-30 | 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 | 2024-07-19 | 2024-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-07-19 | 2024-08-30 | 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 | 2024-07-19 | 2024-08-30 | 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 | 2024-07-19 | 2024-08-30 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-07-19 | 2024-08-30 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-19 | 2024-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-30 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-07-19 | 2024-08-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-07-19 | 2024-08-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-07-19 | 2024-08-30 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-07-19 | 2024-08-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-19 | 2024-08-30 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-07-19 | 2024-08-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-19 | 2024-08-30 | 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 | 2024-07-19 | 2024-08-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-08-30 | 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 | 2024-07-19 | 2024-08-30 | 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 | 2024-07-19 | 2024-08-30 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-07-19 | 2024-08-30 | Y |
| Post nurse staffing information every day. | Health | 2024-07-19 | 2024-08-30 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-19 | 2024-08-30 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-07-19 | 2024-08-30 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-06-18 | 2024-08-30 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-07-25 | 2024-08-30 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-25 | 2024-08-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-25 | 2024-08-30 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-03-24 | 2023-05-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-24 | 2023-05-02 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-24 | 2023-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-24 | 2023-05-02 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-03-24 | 2023-05-02 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Meet other general requirements. | Fire Safety | 2023-03-22 | 2023-05-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-02-15 | 2022-04-04 | 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 | 2022-02-15 | 2022-04-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-15 | 2022-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-04-04 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-02-08 | 2022-04-04 | 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 | 2022-02-08 | 2022-04-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-08 | 2022-04-04 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-02-08 | 2022-04-04 | N |
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