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Deficiency Records for Accela Rehab and Care Center at Springfield
A list of the most recent deficiencies for Accela Rehab and Care Center at Springfield. 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 Accela Rehab and Care Center at Springfield. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-13 | 2024-07-04 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-05-13 | 2024-07-04 | 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 | 2024-05-13 | 2024-07-04 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2024-05-13 | 2024-07-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-13 | 2024-07-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-13 | 2024-07-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-05-13 | 2024-07-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-05-13 | 2024-07-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-13 | 2024-07-04 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-06-06 | 2024-06-07 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-13 | 2024-06-07 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-05-13 | 2024-06-07 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2024-05-13 | 2024-06-07 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-13 | 2024-06-07 | 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 | 2024-05-13 | 2024-06-07 | 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 | 2024-05-13 | 2024-06-07 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-05-13 | 2024-06-07 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-05-13 | 2024-06-07 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-13 | 2024-06-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-13 | 2024-06-07 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-05-13 | 2024-06-07 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-05-13 | 2024-06-07 | Y |
| 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 | 2024-05-13 | 2024-06-07 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-13 | 2024-06-07 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-13 | 2024-06-07 | Y |
| 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 | 2024-05-13 | 2024-06-07 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-05-13 | 2024-06-07 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-05-13 | 2024-06-07 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2024-05-13 | 2024-06-07 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2024-05-13 | 2024-06-07 | 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 | 2024-05-13 | 2024-06-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-13 | 2024-06-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-13 | 2024-06-07 | Y |
| Keep all essential equipment working safely. | Health | 2024-05-13 | 2024-06-07 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-13 | 2024-06-07 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-05-13 | 2024-06-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-13 | 2024-05-31 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-13 | 2024-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-17 | 2024-05-20 | Y |
| 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 | 2023-07-28 | 2023-09-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-28 | 2023-09-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-28 | 2023-09-26 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-07-28 | 2023-09-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-28 | 2023-09-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-28 | 2023-09-26 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-06-23 | 2023-08-22 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2023-06-23 | 2023-08-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-23 | 2023-08-22 | 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 | 2023-06-23 | 2023-08-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-23 | 2023-08-22 | 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 | 2023-06-23 | 2023-08-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-23 | 2023-08-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-23 | 2023-08-22 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-23 | 2023-08-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-23 | 2023-08-22 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-23 | 2023-08-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-23 | 2023-08-22 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-23 | 2023-08-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-23 | 2023-08-22 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-23 | 2023-08-22 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2023-07-25 | 2023-07-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-07-25 | 2023-07-25 | 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 | 2023-07-25 | 2023-07-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-25 | 2023-07-25 | 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 | 2023-07-25 | 2023-07-25 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-25 | 2023-07-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-25 | 2023-07-25 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2023-04-26 | 2023-05-23 | Y |
| 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 | 2023-04-26 | 2023-05-23 | 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 | 2023-04-26 | 2023-05-23 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-04-26 | 2023-05-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-23 | 2023-05-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-08 | 2022-12-07 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-11-08 | 2022-12-07 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-11-08 | 2022-12-07 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-09-12 | 2022-11-09 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-12 | 2022-11-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-12 | 2022-11-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-12 | 2022-11-09 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-12 | 2022-11-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-12 | 2022-11-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-12 | 2022-11-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-12 | 2022-11-09 | 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 | 2022-09-12 | 2022-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-12 | 2022-11-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-12 | 2022-11-09 | 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 | 2022-09-12 | 2022-11-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-12 | 2022-11-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2022-09-12 | 2022-11-09 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-09-12 | 2022-11-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-12 | 2022-11-09 | 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 | 2022-09-12 | 2022-11-09 | 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 | 2022-09-12 | 2022-11-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-12 | 2022-11-09 | 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 | 2022-09-12 | 2022-11-09 | N |
| Report COVID19 data to residents and families. | Health | 2022-09-12 | 2022-11-09 | 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 | 2022-09-12 | 2022-11-09 | 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 | 2022-02-09 | 2022-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-13 | Not Fixed | Y |
| 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 | 2023-11-13 | Not Fixed | Y |
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