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Deficiency Records for Raleigh Court Health and Rehabilitation Center

A list of the most recent deficiencies for Raleigh Court 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 Raleigh Court 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?
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2024-08-15 2024-10-10 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 2024-10-10 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-08-15 2024-10-10 N
Post nurse staffing information every day. Health 2024-08-15 2024-10-10 N
Ensure each resident?s drug regimen must be free from unnecessary drugs. Health 2024-08-15 2024-10-10 N
Ensure that residents are free from significant medication errors. Health 2024-08-15 2024-10-10 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-08-15 2024-10-10 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-01-13 2024-04-03 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2023-01-13 2024-04-03 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2023-01-13 2024-04-03 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2023-01-13 2024-04-03 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-01-13 2024-04-03 N
Install corridor and hallway doors that block smoke. Fire Safety 2023-01-13 2023-10-03 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2023-01-13 2023-10-03 N
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-01-13 2023-06-12 N
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. Fire Safety 2023-01-13 2023-06-12 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 2022-12-19 2023-02-27 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 2022-12-19 2023-02-27 Y
Give the resident's representative the ability to exercise the resident's rights. Health 2022-12-19 2023-02-27 N
Honor the resident's right to choose his or her attending physician. Health 2022-12-19 2023-02-27 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-12-19 2023-02-27 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 2022-12-19 2023-02-27 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-12-19 2023-02-27 N
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2022-12-19 2023-02-27 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2022-12-19 2023-02-27 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-12-19 2023-02-27 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-12-19 2023-02-27 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2022-12-19 2023-02-27 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 2022-12-19 2023-02-27 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 2022-12-19 2023-02-27 N
Ensure that residents are free from significant medication errors. Health 2022-12-19 2023-02-27 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 2022-12-19 2023-02-27 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-12-19 2023-02-27 N
Not hire anyone with a finding of abuse, neglect, exploitation, or theft. Health 2022-12-19 2023-02-27 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-12-19 2023-02-27 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2021-01-22 2021-03-12 N
Have properly located and lighted "Exit" signs. Fire Safety 2021-01-22 2021-03-12 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2021-01-22 2021-03-12 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2021-01-22 2021-03-12 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-01-22 2021-03-12 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2021-01-22 2021-03-12 N
Have elevators that firefighters can control in the event of a fire. Fire Safety 2021-01-22 2021-03-12 N
Provide a written emergency evacuation plan. Fire Safety 2021-01-22 2021-03-12 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2021-01-22 2021-03-12 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2021-01-22 2021-03-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-03-12 2020-08-04 N

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