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Deficiency Records for Three Rivers Health and Rehab Center
A list of the most recent deficiencies for Three Rivers Health and Rehab 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 Three Rivers Health and Rehab 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 | 2024-03-01 | 2024-04-01 | 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 | 2024-03-01 | 2024-04-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-03-01 | 2024-04-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-01 | 2024-04-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2024-03-01 | 2024-04-01 | 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 | 2024-03-01 | 2024-04-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-01 | 2024-04-01 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-03-01 | 2024-04-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-03-01 | 2024-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-01 | 2024-03-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-01 | 2024-03-15 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-13 | 2023-12-15 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-09-13 | 2023-10-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-13 | 2023-10-24 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-13 | 2023-10-24 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-13 | 2023-10-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-13 | 2023-10-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-29 | 2021-09-01 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2021-07-29 | 2021-09-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-29 | 2021-09-01 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-29 | 2021-09-01 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-29 | 2021-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-29 | 2021-09-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-29 | 2021-09-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-29 | 2021-09-01 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-29 | 2021-09-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-29 | 2021-09-01 | N |
| Post nurse staffing information every day. | Health | 2021-07-29 | 2021-09-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-29 | 2021-09-01 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-29 | 2021-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-29 | 2021-09-01 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-07-29 | 2021-09-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-03 | 2019-02-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-12-03 | 2019-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-03 | 2019-02-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-11-01 | 2018-12-07 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-11-01 | 2018-12-07 | 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 | 2018-11-01 | 2018-12-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2018-12-07 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-11-01 | 2018-12-07 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-01 | 2018-12-07 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-11-01 | 2018-12-07 | N |
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