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Deficiency Records for Loudoun Rehabilitation and Nursing Center
A list of the most recent deficiencies for Loudoun 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 Loudoun 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? |
|---|---|---|---|---|
| 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 | 2023-12-05 | 2024-06-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-12-01 | 2024-02-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-01 | 2024-02-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-01 | 2024-02-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-01 | 2024-02-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-12-01 | 2024-02-16 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-12-01 | 2024-01-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-12-01 | 2024-01-15 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-12-01 | 2024-01-15 | 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 | 2023-12-01 | 2024-01-15 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-12-01 | 2024-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-01 | 2024-01-15 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-01 | 2024-01-15 | 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 | 2023-12-01 | 2024-01-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-12-01 | 2024-01-15 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-12-01 | 2024-01-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-12-01 | 2024-01-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-01 | 2024-01-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-01 | 2024-01-15 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-12-01 | 2024-01-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-01 | 2024-01-15 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-01 | 2024-01-15 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-12-01 | 2024-01-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2024-01-15 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-12-01 | 2024-01-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-01 | 2024-01-15 | Y |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-01 | 2024-01-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-26 | 2022-06-06 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-04-26 | 2022-06-06 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-04-26 | 2022-06-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-26 | 2022-06-06 | 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 | 2022-04-26 | 2022-06-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-26 | 2022-06-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-04-26 | 2022-06-06 | 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 | 2022-04-26 | 2022-06-06 | 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 | 2022-04-26 | 2022-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-26 | 2022-06-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-26 | 2022-06-06 | 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 | 2022-04-26 | 2022-06-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-06 | 2022-05-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-05-06 | 2022-05-27 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-02 | 2019-05-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-05-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-03-21 | 2019-05-01 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-03-21 | 2019-05-01 | 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 | 2019-03-21 | 2019-05-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-21 | 2019-05-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-21 | 2019-05-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-21 | 2019-05-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-05-01 | N |
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