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Deficiency Records for Deer Meadows Rehabilitation and Nursing
A list of the most recent deficiencies for Deer Meadows Rehabilitation and Nursing. 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 Deer Meadows Rehabilitation and Nursing. 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-23 | 2022-07-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-23 | 2022-07-20 | 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 | 2022-06-23 | 2022-07-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-06-23 | 2022-07-20 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-05 | 2022-02-25 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-05 | 2022-02-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-11-05 | 2022-02-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-11-05 | 2022-01-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-05 | 2022-01-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-11-05 | 2022-01-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-05 | 2022-01-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-11-05 | 2022-01-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-05 | 2022-01-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-10-28 | 2021-12-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-28 | 2021-12-03 | 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 | 2021-10-28 | 2021-12-03 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-28 | 2021-12-03 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-10-28 | 2021-12-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-10-28 | 2021-12-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-02 | 2019-06-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-05-02 | 2019-06-13 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-02 | 2019-06-13 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-05-02 | 2019-06-13 | 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 | 2019-05-02 | 2019-06-13 | 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 | 2019-05-02 | 2019-06-13 | 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 | 2019-05-02 | 2019-06-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-02 | 2019-06-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-02 | 2019-06-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-05-02 | 2019-06-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-02 | 2019-06-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-04-30 | 2018-07-30 | 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 | 2018-04-30 | 2018-06-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-30 | 2018-06-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-30 | 2018-06-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-02-08 | 2018-03-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-08 | 2018-03-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-08 | 2018-03-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-08 | 2018-03-14 | 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 | 2018-02-08 | 2018-03-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-02-08 | 2018-03-14 | 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 | 2018-02-08 | 2018-03-14 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-02-08 | 2018-03-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-02-08 | 2018-03-14 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-02-08 | 2018-03-14 | 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 | 2018-02-08 | 2018-03-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-08 | 2018-03-14 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2018-02-08 | 2018-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-08 | 2018-03-14 | N |
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