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Deficiency Records for KADIMA REHABILITATION & NURSING AT PALMYRA
A list of the most recent deficiencies for KADIMA REHABILITATION & 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 & 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? |
---|---|---|---|---|
Meet other general requirements. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Have correct number of accessible exits for each story. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2024-08-20 | 2024-10-18 | 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 | 2024-08-20 | 2024-10-18 | N |
Provide properly protected cooking facilities. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Have power receptacles that are properly grounded. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2024-08-20 | 2024-10-18 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-09 | 2024-09-26 | N |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-08-09 | 2024-09-26 | N |
The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-08-09 | 2024-09-26 | N |
Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-08-09 | 2024-09-26 | N |
Keep residents' personal and medical records private and confidential. | Health | 2024-08-09 | 2024-09-26 | 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 | 2024-08-09 | 2024-09-26 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-08-09 | 2024-09-26 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-09 | 2024-09-26 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-09 | 2024-09-26 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-09 | 2024-09-26 | 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 | 2024-08-09 | 2024-09-26 | 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 | 2024-08-09 | 2024-09-26 | N |
Provide or obtain dental services for each resident. | Health | 2024-08-09 | 2024-09-26 | 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 | 2024-08-09 | 2024-09-26 | N |
Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2024-08-09 | 2024-09-26 | N |
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-08-09 | 2024-09-26 | N |
Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2024-08-09 | 2024-09-26 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-09 | 2024-09-26 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-08-09 | 2024-09-26 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-08-09 | 2024-09-26 | N |
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 |
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 |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-08-20 | Not Fixed | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-20 | Not Fixed | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-20 | Not Fixed | N |
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