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Deficiency Records for Rochester Residence and Care Center

A list of the most recent deficiencies for Rochester Residence and Care 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 Rochester Residence and Care 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?
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2024-08-13 2024-09-06 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2024-08-13 2024-09-06 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-13 2024-09-06 Y
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 2024-06-11 2024-08-06 N
Provide properly protected cooking facilities. Fire Safety 2024-06-11 2024-08-06 N
Install an approved automatic sprinkler system. Fire Safety 2024-06-11 2024-08-06 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2024-06-11 2024-08-06 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2024-06-11 2024-08-06 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2024-06-11 2024-08-06 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-11 2024-08-06 N
Meet requirements for the use of electrical equipment. Fire Safety 2024-06-11 2024-08-06 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2024-06-07 2024-07-31 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2024-06-07 2024-07-31 N
Ensure each resident receives an accurate assessment. Health 2024-06-07 2024-07-31 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2024-06-07 2024-07-31 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-07 2024-07-31 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-06-07 2024-07-31 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-06-07 2024-07-31 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 2024-06-07 2024-07-31 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 2024-06-07 2024-07-31 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-07 2024-07-31 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-06-07 2024-07-31 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2024-06-07 2024-07-31 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 2024-06-07 2024-07-31 N
Ensure that residents are free from significant medication errors. Health 2024-06-07 2024-07-31 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2024-06-07 2024-07-31 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2024-06-07 2024-07-31 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 2024-06-07 2024-07-31 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-07 2024-07-31 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2024-06-07 2024-07-31 N
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. Health 2024-06-07 2024-07-31 N
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2024-06-07 2024-07-31 N
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-06-07 2024-07-31 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 2024-06-07 2024-07-31 Y
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2024-06-07 2024-07-31 Y
Provide and implement an infection prevention and control program. Health 2024-06-07 2024-07-31 Y
List the names and contact information of those in the facility. Fire Safety 2023-12-19 2024-02-14 N
Establish emergency prep training and testing. Fire Safety 2023-12-19 2024-02-14 N
Conduct testing and exercise requirements. Fire Safety 2023-12-19 2024-02-14 N
Meet other general requirements. Fire Safety 2023-12-19 2024-02-14 N
Use approved construction type or materials. Fire Safety 2023-12-19 2024-02-14 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-12-19 2024-02-14 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 2023-12-19 2024-02-14 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 2023-12-19 2024-02-14 N
Provide properly protected cooking facilities. Fire Safety 2023-12-19 2024-02-14 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-12-19 2024-02-14 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-12-19 2024-02-14 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-12-19 2024-02-14 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-12-19 2024-02-14 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-12-19 2024-02-14 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2023-12-19 2024-02-14 N
Have simulated fire drills held at unexpected times. Fire Safety 2023-12-19 2024-02-14 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-12-19 2024-02-14 N
Meet requirements for the installation and maintenance of electrical systems. Fire Safety 2023-12-19 2024-02-14 N
Reasonably accommodate the needs and preferences of each resident. Health 2023-12-18 2024-02-05 N
Honor the resident's right to organize and participate in resident/family groups in the facility. Health 2023-12-18 2024-02-05 N
Keep residents' personal and medical records private and confidential. Health 2023-12-18 2024-02-05 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 2023-12-18 2024-02-05 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 2023-12-18 2024-02-05 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2023-12-18 2024-02-05 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2023-12-18 2024-02-05 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-12-18 2024-02-05 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 2023-12-18 2024-02-05 N
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. Health 2023-12-18 2024-02-05 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-12-18 2024-02-05 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2023-12-18 2024-02-05 N
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. Health 2023-12-18 2024-02-05 N
Observe each nurse aide's job performance and give regular training. Health 2023-12-18 2024-02-05 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 2023-12-18 2024-02-05 N
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 2023-12-18 2024-02-05 N
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. Health 2023-12-18 2024-02-05 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-12-18 2024-02-05 N
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2023-12-18 2024-02-05 N
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly Health 2023-12-18 2024-02-05 N
Provide and implement an infection prevention and control program. Health 2023-12-18 2024-02-05 N
Develop, implement, and/or maintain an effective training program for all new and existing staff members. Health 2023-12-18 2024-02-05 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 2023-12-18 2024-02-05 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-10-16 2023-11-28 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-10-16 2023-11-28 Y
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2023-10-16 2023-11-28 Y
Ensure that residents are free from significant medication errors. Health 2023-10-16 2023-11-28 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-10-16 2023-11-28 Y
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. Health 2023-05-19 2023-06-16 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-04-28 2023-06-08 Y
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-02-28 2023-05-31 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-02-28 2023-05-31 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-03-30 2023-05-03 Y
Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. Health 2023-03-30 2023-05-03 Y
Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. Health 2023-03-30 2023-05-03 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 2023-03-30 2023-05-03 Y
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-03-30 2023-05-03 Y
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-03-30 2023-05-03 Y
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. Health 2023-02-24 2023-04-17 N
Keep residents' personal and medical records private and confidential. Health 2023-02-24 2023-04-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-02-24 2023-04-17 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-02-24 2023-04-17 N
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. Health 2023-02-24 2023-04-17 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2023-02-24 2023-04-17 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-02-24 2023-04-17 N
Provide and implement an infection prevention and control program. Health 2023-02-24 2023-04-17 N
Perform COVID19 testing on residents and staff. Health 2023-02-24 2023-04-17 N
Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. Health 2023-02-24 2023-04-17 N
Ensure staff are vaccinated for COVID-19 Health 2023-02-24 2023-04-17 N
Meet other general requirements. Fire Safety 2023-02-28 2023-04-17 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 2023-02-28 2023-04-17 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 2023-02-28 2023-04-17 N
Provide properly protected cooking facilities. Fire Safety 2023-02-28 2023-04-17 N
Follow proper procedures when the fire alarm was out of service for more than 4 hours. Fire Safety 2023-02-28 2023-04-17 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-02-28 2023-04-17 N
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. Fire Safety 2023-02-28 2023-04-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2023-02-28 2023-04-17 N
Conduct risk assessment and an All-Hazards approach. Fire Safety 2022-01-28 2022-03-29 Y

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