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Deficiency Records for Wecare at Sycamore Rehabilitation and Nursing Cent
A list of the most recent deficiencies for Wecare at Sycamore Rehabilitation and Nursing Cent. 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 Wecare at Sycamore Rehabilitation and Nursing Cent. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-03-15 | 2024-05-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-03-15 | 2024-05-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-15 | 2024-05-07 | 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 | 2024-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2024-03-15 | 2024-05-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | 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 | 2024-03-15 | 2024-05-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-15 | 2024-05-07 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-03-15 | 2024-05-07 | N |
| Install a two-hour-resistant firewall separation. | Fire Safety | 2024-03-28 | 2024-05-07 | N |
| Use approved construction type or materials. | Fire Safety | 2024-03-28 | 2024-05-07 | 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 | 2024-03-28 | 2024-05-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-28 | 2024-05-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-03-28 | 2024-05-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-03-28 | 2024-05-07 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2024-03-28 | 2024-05-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-02 | 2023-12-06 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-03 | 2023-05-04 | Y |
| Use approved construction type or materials. | Fire Safety | 2023-03-13 | 2023-04-20 | 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 | 2023-03-13 | 2023-04-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-13 | 2023-04-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-13 | 2023-04-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-13 | 2023-04-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-03 | 2023-04-13 | 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 | 2023-03-03 | 2023-04-13 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-03-03 | 2023-04-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-03 | 2023-04-13 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-03 | 2023-04-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-03-03 | 2023-04-13 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-03 | 2023-04-13 | Y |
| 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 | 2023-03-03 | 2023-04-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-03 | 2023-04-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-03-03 | 2023-04-13 | Y |
| Ensure that nurse aides who have worked more than 4 months, are trained and competent; and nurse aides who have worked less than 4 months are enrolled in appropriate training. | Health | 2023-03-03 | 2023-04-13 | Y |
| 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 | 2023-03-03 | 2023-04-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-04-13 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2023-03-03 | 2023-04-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-13 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-03-03 | 2023-04-13 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-08 | 2022-09-20 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-12 | 2022-06-07 | 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 | 2022-04-12 | 2022-06-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-12 | 2022-06-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-05-24 | 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 | 2022-04-01 | 2022-05-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-04-01 | 2022-05-17 | 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 | 2022-04-01 | 2022-05-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-01 | 2022-05-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-01 | 2022-05-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-04-01 | 2022-05-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-01 | 2022-05-17 | 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 | 2022-04-01 | 2022-05-17 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-01 | 2022-05-17 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-01 | 2022-05-17 | N |
| Provide appropriate foot care. | Health | 2022-04-01 | 2022-05-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-01 | 2022-05-17 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2022-04-01 | 2022-05-17 | N |
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