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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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