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Deficiency Records for Armstrong Rehabilitation and Nursing Center
A list of the most recent deficiencies for Armstrong Rehabilitation and Nursing 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 Armstrong Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2024-01-10 | 2024-03-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-10 | 2024-03-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-05 | 2024-03-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-05 | 2024-03-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-01-05 | 2024-03-01 | 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 | 2024-01-05 | 2024-03-01 | N |
| 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 | 2024-01-05 | 2024-03-01 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-05 | 2024-03-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-01-05 | 2024-03-01 | N |
| Respond appropriately to all alleged violations. | Health | 2024-01-05 | 2024-03-01 | N |
| Assess the resident when there is a significant change in condition | Health | 2024-01-05 | 2024-03-01 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-05 | 2024-03-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-05 | 2024-03-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-05 | 2024-03-01 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-01-05 | 2024-03-01 | 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 | 2024-01-05 | 2024-03-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-05 | 2024-03-01 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-01-10 | 2024-02-22 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-21 | 2023-08-09 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Meet other general requirements. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-06-21 | 2023-07-17 | 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 | 2023-06-21 | 2023-07-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-16 | 2023-07-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-16 | 2023-07-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-16 | 2023-07-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-16 | 2023-07-07 | 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 | 2023-06-16 | 2023-07-07 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-16 | 2023-07-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-04-20 | 2023-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-20 | 2023-06-19 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-20 | 2023-06-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-24 | 2023-03-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-01-24 | 2023-03-01 | 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 | 2023-01-10 | 2023-03-01 | 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 | 2023-01-10 | 2023-03-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-10 | 2023-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-10 | 2023-03-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-10 | 2023-03-01 | 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 | 2023-01-10 | 2023-03-01 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-01-10 | 2023-03-01 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-10 | 2023-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-14 | 2022-10-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-11 | 2022-10-15 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-11 | 2022-08-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-11 | 2022-08-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-11 | 2022-08-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-11 | 2022-08-23 | 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 | 2022-07-11 | 2022-08-23 | 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 | 2022-07-11 | 2022-08-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-11 | 2022-08-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-11 | 2022-08-23 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-11 | 2022-08-23 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-11 | 2022-08-23 | 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 | 2022-07-11 | 2022-08-23 | 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 | 2022-07-11 | 2022-08-23 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-06-16 | 2022-07-29 | 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 | 2022-06-16 | 2022-07-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-16 | 2022-07-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-06-16 | 2022-07-29 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-02-09 | 2022-04-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-09 | 2022-04-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-01-13 | 2022-02-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-01-13 | 2022-02-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-01-13 | 2022-02-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-17 | 2022-01-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-21 | 2021-11-19 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-10-21 | 2021-11-19 | Y |
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