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Deficiency Records for Holland Center For Rehabilitation and Nursing
A list of the most recent deficiencies for Holland Center For Rehabilitation and Nursing. 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 Holland Center For Rehabilitation and Nursing. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-13 | 2024-09-03 | 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 | 2024-07-12 | 2024-08-27 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-07-12 | 2024-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-12 | 2024-08-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-12 | 2024-08-27 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-07-12 | 2024-08-27 | 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 | 2024-07-12 | 2024-08-27 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2024-07-12 | 2024-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-12 | 2024-08-27 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-12 | 2024-08-27 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-07-12 | 2024-08-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-12 | 2024-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-12 | 2024-08-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-07-12 | 2024-08-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-07-12 | 2024-08-27 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2024-07-12 | 2024-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-12 | 2024-08-27 | Y |
| Meet other general requirements. | Fire Safety | 2024-07-22 | 2024-08-20 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-07-22 | 2024-08-20 | N |
| 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 | 2024-07-22 | 2024-08-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-07-22 | 2024-08-20 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-22 | 2024-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-22 | 2024-08-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-22 | 2024-08-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-04-22 | 2024-05-28 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-22 | 2024-05-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-02-08 | 2024-03-12 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-10-16 | 2023-12-20 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-10-16 | 2023-11-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-05 | 2023-11-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-05 | 2023-11-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-10-05 | 2023-11-07 | 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 | 2023-10-05 | 2023-11-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-05 | 2023-11-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-05 | 2023-11-07 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2023-07-28 | 2023-08-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-28 | 2023-08-14 | 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 | 2023-07-17 | 2023-08-11 | 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 | 2022-12-15 | 2023-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-15 | 2023-01-25 | N |
| Meet other general requirements. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-29 | 2023-01-25 | N |
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