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Deficiency Records for Caring Heights Community Care and Rehab Ctr
A list of the most recent deficiencies for Caring Heights Community Care and Rehab Ctr. 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 Caring Heights Community Care and Rehab Ctr. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-25 | 2024-11-26 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-10-25 | 2024-11-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-10-25 | 2024-11-26 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-25 | 2024-11-26 | 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 | 2024-10-25 | 2024-11-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-10-25 | 2024-11-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-25 | 2024-11-26 | N |
| Respond appropriately to all alleged violations. | Health | 2024-10-25 | 2024-11-26 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-25 | 2024-11-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-25 | 2024-11-26 | 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 | 2024-10-25 | 2024-11-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-25 | 2024-11-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-25 | 2024-11-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-25 | 2024-11-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-25 | 2024-11-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-10-25 | 2024-11-26 | 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 | 2024-10-25 | 2024-11-26 | 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 | 2024-10-25 | 2024-11-26 | N |
| 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 | 2024-10-25 | 2024-11-26 | 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 | 2024-10-25 | 2024-11-26 | N |
| Provide or obtain dental services for each resident. | Health | 2024-10-25 | 2024-11-26 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-10-25 | 2024-11-26 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-10-25 | 2024-11-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-25 | 2024-11-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-10-25 | 2024-11-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-16 | 2024-11-12 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2024-10-16 | 2024-11-12 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-06 | 2024-08-12 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-25 | 2024-08-12 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-06-26 | 2024-07-23 | 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 | 2024-06-26 | 2024-07-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-26 | 2024-07-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-26 | 2024-07-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-02-21 | 2024-03-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-02-21 | 2024-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-21 | 2024-03-21 | Y |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2023-11-09 | 2023-12-05 | N |
| Respond appropriately to all alleged violations. | Health | 2023-11-09 | 2023-12-05 | 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 | 2023-11-09 | 2023-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-09 | 2023-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-07 | 2023-12-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-07 | 2023-12-05 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-07 | 2023-12-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-07 | 2023-12-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-07 | 2023-12-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-13 | 2023-01-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-13 | 2023-01-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-13 | 2023-01-04 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-12-13 | 2023-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-07 | 2022-12-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-07 | 2022-12-27 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-07-20 | 2022-08-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-20 | 2022-08-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-20 | 2022-07-07 | Y |
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