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Deficiency Records for Accelerate Skilled Nursing and Rehabilitation Will
A list of the most recent deficiencies for Accelerate Skilled Nursing and Rehabilitation Will. 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 Accelerate Skilled Nursing and Rehabilitation Will. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-15 | 2024-10-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-15 | 2024-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-15 | 2024-10-02 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-08-15 | 2024-10-02 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-08-15 | 2024-10-02 | 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 | 2024-08-15 | 2024-10-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-08-15 | 2024-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-15 | 2024-10-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-08-15 | 2024-10-02 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-08-15 | 2024-10-02 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-08-15 | 2024-10-02 | N |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2024-08-15 | 2024-10-02 | N |
| Install resident room doors of proper design and width. | Fire Safety | 2024-08-30 | 2024-10-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-30 | 2024-10-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-30 | 2024-10-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-08-30 | 2024-10-02 | N |
| Ensure gas cylinders are properly stored. | Fire Safety | 2024-08-30 | 2024-10-02 | 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 | 2024-06-10 | 2024-07-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-05-07 | 2024-07-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-04-27 | 2024-06-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-06 | 2024-04-23 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-19 | 2024-03-02 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-19 | 2024-03-02 | Y |
| Meet other general requirements. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Use approved construction type or materials. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-11-20 | 2024-01-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-08 | 2024-01-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-08 | 2024-01-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-11-08 | 2024-01-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-08 | 2024-01-04 | 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 | 2023-11-08 | 2024-01-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-08 | 2024-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-08 | 2024-01-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-08 | 2024-01-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-08 | 2024-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-08 | 2024-01-04 | 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 | 2023-11-08 | 2024-01-04 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-11-08 | 2024-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-25 | 2023-09-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-29 | 2023-05-09 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-12-19 | 2023-03-06 | N |
| Use approved construction type or materials. | Fire Safety | 2022-12-19 | 2023-01-31 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-12-19 | 2023-01-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-19 | 2023-01-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-19 | 2023-01-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-19 | 2023-01-31 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-12-19 | 2023-01-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-19 | 2023-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-08 | 2023-01-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-08 | 2023-01-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-12-08 | 2023-01-24 | 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 | 2022-12-08 | 2023-01-24 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-08 | 2023-01-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-03-17 | 2022-05-03 | Y |
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