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Deficiency Records for Kadima Rehabilitation and Nursing at Palmyra

A list of the most recent deficiencies for Kadima Rehabilitation and Nursing at Palmyra. 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 Kadima Rehabilitation and Nursing at Palmyra. 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?
Not require residents to give up Medicare or Medicaid benefits, or pay privately as a condition of admission; and must tell residents what care they do not provide. Health 2024-04-27 2024-06-04 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-04-27 2024-06-04 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-04-27 2024-06-04 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-03-07 2024-04-16 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-25 2024-04-08 Y
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2023-12-10 2024-01-16 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 2023-09-07 2023-11-02 N
Assess the resident when there is a significant change in condition Health 2023-09-07 2023-11-02 N
Ensure each resident receives an accurate assessment. Health 2023-09-07 2023-11-02 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-07 2023-11-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-09-07 2023-11-02 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-09-07 2023-11-02 N
Provide enough food/fluids to maintain a resident's health. Health 2023-09-07 2023-11-02 N
Post nurse staffing information every day. Health 2023-09-07 2023-11-02 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 2023-09-07 2023-11-02 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-07 2023-11-02 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-08-30 2022-11-29 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-08-30 2022-11-29 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 2022-08-30 2022-11-29 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2022-08-30 2022-11-29 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-30 2022-11-29 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-30 2022-11-29 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-08-30 2022-10-24 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-08-30 2022-10-24 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 2022-08-30 2022-10-24 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-08-30 2022-10-24 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2022-08-30 2022-10-24 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 2022-08-30 2022-10-24 N
Ensure each resident receives an accurate assessment. Health 2022-08-30 2022-10-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-08-30 2022-10-24 N
Assist a resident in gaining access to vision and hearing services. Health 2022-08-30 2022-10-24 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-08-30 2022-10-24 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 2022-08-30 2022-10-24 N
Provide enough food/fluids to maintain a resident's health. Health 2022-08-30 2022-10-24 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-08-30 2022-10-24 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2022-08-30 2022-10-24 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 2022-08-30 2022-10-24 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 2022-08-30 2022-10-24 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2022-08-30 2022-10-24 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 2022-08-30 2022-10-24 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-08-30 2022-10-24 N
Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. Health 2022-08-30 2022-10-24 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-20 2022-07-25 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-07-20 2022-07-25 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-06-14 2022-06-17 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-05-03 2022-06-17 Y
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-05-03 2022-06-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-03-14 2022-04-22 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-03-14 2022-04-22 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-02-24 2022-03-25 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 2022-01-11 2022-01-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-09-01 2021-10-18 N
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. Health 2021-09-01 2021-10-18 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-09-01 2021-10-18 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 2021-09-01 2021-10-18 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2021-09-01 2021-10-18 N
Ensure each resident receives an accurate assessment. Health 2021-09-01 2021-10-18 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-09-01 2021-10-18 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 2021-09-01 2021-10-18 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-01 2021-10-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-09-01 2021-10-18 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 2021-09-01 2021-10-18 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-09-01 2021-10-18 N
Provide enough food/fluids to maintain a resident's health. Health 2021-09-01 2021-10-18 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 2021-09-01 2021-10-18 N
Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Health 2021-09-01 2021-10-18 N
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. Health 2021-09-01 2021-10-18 N
Provide special eating equipment and utensils for residents who need them and appropriate assistance. Health 2021-09-01 2021-10-18 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-09-01 2021-10-18 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2021-09-01 2021-10-18 N
Provide and implement an infection prevention and control program. Health 2021-09-01 2021-10-18 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2021-08-03 2021-08-26 N
Meet other general requirements. Fire Safety 2021-08-03 2021-08-26 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-08-03 2021-08-26 N
Have correct number of accessible exits for each story. Fire Safety 2021-08-03 2021-08-26 N
Have properly sized and located compartments to protect residents from smoke. Fire Safety 2021-08-03 2021-08-26 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-08-03 2021-08-26 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-08-03 2021-08-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2023-12-19 Not Fixed Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-19 Not Fixed Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-11-19 Not Fixed Y

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