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Deficiency Records for Linwood Nursing and Rehabilitation Center
A list of the most recent deficiencies for Linwood Nursing 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 Linwood Nursing 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-23 | 2024-09-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-23 | 2024-09-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-28 | 2024-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-28 | 2024-09-05 | N |
| Respond appropriately to all alleged violations. | Health | 2024-06-28 | 2024-09-05 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-06-28 | 2024-09-05 | 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 | 2024-06-28 | 2024-09-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-06-28 | 2024-09-05 | 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 | 2024-06-28 | 2024-09-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-06-28 | 2024-09-05 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-06-28 | 2024-09-05 | N |
| Provide or arrange emergency care by a doctor 24 hours a day. | Health | 2024-06-28 | 2024-09-05 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2024-06-28 | 2024-09-05 | N |
| Provide or obtain dental services for each resident. | Health | 2024-06-28 | 2024-09-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-06-28 | 2024-09-05 | N |
| 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 | 2024-06-28 | 2024-09-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-28 | 2024-09-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-06-28 | 2024-09-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-06-28 | 2024-09-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-28 | 2024-07-30 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-06-28 | 2024-07-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-28 | 2024-07-30 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-06-11 | 2024-07-22 | 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 | 2024-06-11 | 2024-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-11 | 2024-07-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-06-11 | 2024-07-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-11 | 2024-07-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-15 | 2024-06-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-15 | 2024-06-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-21 | 2023-10-12 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-07-21 | 2023-09-14 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-07-21 | 2023-09-14 | 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 | 2023-07-21 | 2023-09-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-21 | 2023-09-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-21 | 2023-09-14 | 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 | 2023-07-21 | 2023-09-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-21 | 2023-09-14 | 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 | 2023-07-21 | 2023-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-21 | 2023-09-14 | N |
| Use approved construction type or materials. | Fire Safety | 2023-07-31 | 2023-08-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-31 | 2023-08-25 | 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 | 2022-11-29 | 2023-01-11 | Y |
| 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 | 2022-11-29 | 2023-01-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2022-08-23 | 2022-10-05 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-08-23 | 2022-10-05 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2022-08-23 | 2022-10-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-08-12 | 2022-09-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-12 | 2022-09-27 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-08-12 | 2022-09-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-12 | 2022-09-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-08-12 | 2022-09-27 | N |
| Report COVID19 data to residents and families. | Health | 2022-08-12 | 2022-09-27 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-08-12 | 2022-09-27 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2024-07-23 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-23 | Not Fixed | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-07-23 | Not Fixed | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-23 | Not Fixed | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-15 | Not Fixed | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-05 | 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 | 2023-12-05 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-05 | Not Fixed | Y |
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