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Deficiency Records for Renaissance Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Renaissance Healthcare and Rehabilitation Center. 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 Renaissance Healthcare and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-09 | 2024-12-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-09 | 2024-12-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-10-09 | 2024-12-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-09 | 2024-12-06 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2024-10-03 | 2024-11-19 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2024-10-03 | 2024-11-19 | N |
| 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 | 2024-10-03 | 2024-11-19 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2024-10-03 | 2024-11-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-10-03 | 2024-11-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-10-03 | 2024-11-19 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-10-03 | 2024-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-03 | 2024-11-19 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-10-03 | 2024-11-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-10-03 | 2024-11-19 | 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 | 2024-10-03 | 2024-11-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-10-03 | 2024-11-19 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-27 | 2024-06-27 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-02-27 | 2024-04-01 | 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 | 2024-02-27 | 2024-04-01 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-01-25 | 2024-02-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-15 | 2024-01-30 | 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 | 2023-12-15 | 2024-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-15 | 2024-01-30 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-15 | 2024-01-30 | N |
| Post nurse staffing information every day. | Health | 2023-12-15 | 2024-01-30 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-15 | 2024-01-30 | 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 | 2023-12-15 | 2024-01-30 | 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 | 2023-12-15 | 2024-01-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-30 | N |
| Dispose of garbage and refuse properly. | Health | 2023-12-15 | 2024-01-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-12-15 | 2024-01-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-01 | 2023-05-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-03-01 | 2023-04-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-01 | 2023-04-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-03-01 | 2023-04-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-01 | 2023-04-12 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-03-01 | 2023-04-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-01 | 2023-04-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-01 | 2023-04-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-16 | 2023-04-03 | N |
| Respond appropriately to all alleged violations. | Health | 2023-02-16 | 2023-04-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-16 | 2023-04-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-04-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-16 | 2023-04-03 | 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 | 2023-02-16 | 2023-04-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-16 | 2023-04-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-16 | 2023-04-03 | N |
| Dispose of garbage and refuse properly. | Health | 2023-02-16 | 2023-04-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-16 | 2023-04-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-16 | 2023-04-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-02-16 | 2023-04-03 | N |
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