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Deficiency Records for Titusville Healthcare and Rehabilitation Center
A list of the most recent deficiencies for Titusville 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 Titusville 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-25 | 2024-08-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-25 | 2024-08-29 | 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 | 2024-07-25 | 2024-08-29 | 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 | 2024-07-25 | 2024-08-29 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-07-25 | 2024-08-29 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-07-25 | 2024-08-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-04 | 2023-09-20 | 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 | 2023-08-04 | 2023-09-20 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-08-04 | 2023-09-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-04 | 2023-09-20 | 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 | 2023-08-04 | 2023-09-20 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-08-08 | 2023-08-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-08 | 2023-08-28 | 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 | 2022-09-21 | 2022-10-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-21 | 2022-10-14 | N |
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