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Deficiency Records for Achieve Rehabilitation and Nursing Center
A list of the most recent deficiencies for Achieve Rehabilitation and Nursing 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 Achieve Rehabilitation and Nursing 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-03-07 | 2024-03-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-07 | 2024-03-15 | Y |
Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2024-03-07 | 2024-03-15 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-07 | 2024-03-15 | Y |
Ensure that residents are free from significant medication errors. | Health | 2024-03-07 | 2024-03-15 | 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 | 2024-03-07 | 2024-03-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-15 | 2024-01-31 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-10 | 2023-05-05 | Y |
Provide and implement an infection prevention and control program. | Health | 2023-02-01 | 2023-04-24 | 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 | 2023-02-01 | 2023-04-17 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-02-01 | 2023-03-01 | 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 | 2023-02-01 | 2023-03-01 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-01 | 2023-03-01 | N |
Ensure that residents are free from significant medication errors. | Health | 2023-02-01 | 2023-03-01 | N |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-11-18 | 2022-12-02 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-04 | 2022-11-30 | Y |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-15 | 2022-07-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-07-18 | 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 | 2022-06-15 | 2022-07-18 | Y |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-06-15 | 2022-07-18 | Y |
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 | 2021-05-19 | 2021-06-18 | 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 | 2021-05-19 | 2021-06-18 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-28 | 2019-05-16 | 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 | 2019-03-28 | 2019-05-16 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-03-28 | 2019-05-16 | N |
Respond appropriately to all alleged violations. | Health | 2019-03-28 | 2019-05-16 | 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 | 2019-03-28 | 2019-05-16 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-03-28 | 2019-05-16 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-05-16 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-03-28 | 2019-04-25 | N |
Assess the resident when there is a significant change in condition | Health | 2019-03-28 | 2019-04-25 | N |
Ensure each resident receives an accurate assessment. | Health | 2019-03-28 | 2019-04-25 | 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 | 2019-03-28 | 2019-04-25 | N |
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