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Deficiency Records for Charlottesville Health and Rehabilitation Center
A list of the most recent deficiencies for Charlottesville Health 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 Charlottesville Health 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? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-07-10 | 2024-08-27 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2024-07-10 | 2024-08-27 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2024-07-10 | 2024-08-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-07-10 | 2024-08-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-10 | 2024-08-27 | 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 | 2024-07-10 | 2024-08-27 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-07-10 | 2024-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-10 | 2024-08-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-10 | 2024-08-27 | 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 | 2024-07-10 | 2024-08-27 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-10 | 2024-08-27 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-07-10 | 2024-08-27 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-07-10 | 2024-08-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-07-10 | 2024-08-27 | Y |
| Install proper backup exit lighting. | Fire Safety | 2024-07-12 | 2024-08-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-12 | 2024-08-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-12 | 2024-08-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-12 | 2024-08-27 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2024-07-12 | 2024-08-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-04-10 | 2024-05-14 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2024-04-10 | 2024-05-14 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-04-10 | 2024-05-14 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-03-21 | 2023-04-28 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-21 | 2023-04-28 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-21 | 2023-04-28 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-21 | 2023-04-28 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-23 | 2022-03-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-09 | 2021-12-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-09 | 2021-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-09 | 2021-12-16 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-11-09 | 2021-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-09 | 2021-12-16 | 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 | 2019-03-07 | 2019-04-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-07 | 2019-04-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-03-07 | 2019-04-18 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-03-07 | 2019-04-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-02-14 | 2019-03-07 | 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 | 2019-02-14 | 2019-03-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-02-14 | 2019-03-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-14 | 2019-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-14 | 2019-03-07 | 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 | 2019-02-14 | 2019-03-07 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-02-14 | 2019-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-14 | 2019-03-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-14 | 2019-03-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-14 | 2019-03-07 | 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 | 2019-02-14 | 2019-03-07 | N |
| Provide or obtain dental services for each resident. | Health | 2019-02-14 | 2019-03-07 | N |
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