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Deficiency Records for Haida Nursing and Rehab
A list of the most recent deficiencies for Haida Nursing and Rehab. 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 Haida Nursing and Rehab. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-15 | 2025-02-11 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-15 | 2025-02-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-01-15 | 2025-02-11 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-12 | 2025-01-03 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-11-07 | 2024-12-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-07 | 2024-12-05 | 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 | 2024-11-07 | 2024-12-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-07 | 2024-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-07 | 2024-12-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-07 | 2024-12-05 | 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 | 2024-11-07 | 2024-12-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-07 | 2024-12-05 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-11-07 | 2024-12-05 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-11-07 | 2024-12-05 | 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 | 2024-11-07 | 2024-12-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-11-07 | 2024-12-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-11-07 | 2024-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-10-10 | 2024-10-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-09-17 | 2024-10-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-05 | 2024-04-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-07 | 2024-01-16 | 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 | 2023-12-07 | 2024-01-16 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-12-07 | 2024-01-16 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-12-07 | 2024-01-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-07 | 2024-01-16 | 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 | 2023-12-07 | 2024-01-16 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-12-05 | 2024-01-05 | 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 | 2023-12-05 | 2024-01-05 | 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 | 2023-12-05 | 2024-01-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-05 | 2024-01-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-05 | 2024-01-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-05 | 2024-01-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-05 | 2024-01-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-05 | 2024-01-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-28 | 2023-09-26 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-03 | 2023-08-22 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2023-01-23 | 2023-03-23 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-19 | 2023-03-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-19 | 2023-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-19 | 2023-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-19 | 2023-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-19 | 2023-03-07 | 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 | 2023-01-19 | 2023-03-07 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-01-19 | 2023-03-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-19 | 2023-03-07 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-19 | 2023-03-07 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-01-19 | 2023-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-19 | 2023-03-07 | N |
| Perform COVID19 testing on residents and staff. | Health | 2023-01-19 | 2023-03-07 | 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 | 2023-01-19 | 2023-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-29 | 2022-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-29 | 2022-10-27 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-29 | 2022-10-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-09-29 | 2022-10-27 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-07-21 | 2022-08-09 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-05 | 2022-04-28 | Y |
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