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Deficiency Records for Rose City Nursing and Rehab at Lancaster
A list of the most recent deficiencies for Rose City Nursing and Rehab at Lancaster. 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 Rose City Nursing and Rehab at Lancaster. 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? |
|---|---|---|---|---|
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-08-12 | 2024-09-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-08-12 | 2024-09-03 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-03-15 | 2024-05-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-15 | 2024-05-01 | 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 | 2024-03-15 | 2024-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-15 | 2024-05-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-15 | 2024-05-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-15 | 2024-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-15 | 2024-05-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2024-03-15 | 2024-05-01 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-03-26 | 2024-05-01 | N |
| Meet other general requirements. | Fire Safety | 2024-03-26 | 2024-05-01 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-26 | 2024-05-01 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-03-26 | 2024-05-01 | 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 | 2024-03-26 | 2024-05-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-26 | 2024-05-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-26 | 2024-05-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-03-26 | 2024-05-01 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-01-03 | 2024-01-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-10-27 | Y |
| 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 | 2023-06-02 | 2023-07-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-02 | 2023-07-05 | 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 | 2023-06-02 | 2023-07-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-02 | 2023-07-05 | 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 | 2023-06-02 | 2023-07-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-16 | 2023-03-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-02-13 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2022-09-13 | 2022-10-10 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-29 | 2022-07-28 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-06-29 | 2022-07-28 | 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 | 2022-06-29 | 2022-07-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-29 | 2022-07-28 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-06-29 | 2022-07-28 | 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 | 2022-06-29 | 2022-07-28 | Y |
| Meet other general requirements. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Use approved construction type or materials. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-06-13 | 2022-07-27 | 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 | 2022-06-13 | 2022-07-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-13 | 2022-07-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-01 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-01 | Not Fixed | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-12-01 | Not Fixed | Y |
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