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Deficiency Records for South Boston Health and Rehab Center

A list of the most recent deficiencies for South Boston 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 South Boston 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?
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 2022-07-13 2022-08-05 Y
Provide enough food/fluids to maintain a resident's health. Health 2022-07-13 2022-08-05 Y
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2022-07-13 2022-08-05 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-07-13 2022-08-05 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-13 2022-07-03 Y
Provide safe and appropriate respiratory care for a resident when needed. Health 2022-07-13 2022-07-03 Y
Provide safe, appropriate pain management for a resident who requires such services. Health 2022-07-13 2022-07-03 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 2022-07-13 2022-07-03 Y
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 2022-02-04 2022-05-20 N
Have properly located and lighted "Exit" signs. Fire Safety 2022-02-04 2022-05-20 N
Provide properly protected cooking facilities. Fire Safety 2022-02-04 2022-05-20 N
Have properly installed hallway dispensers for alcohol-based hand rub. Fire Safety 2022-02-04 2022-05-20 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2022-02-04 2022-05-20 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-02-04 2022-05-20 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2022-02-04 2022-05-20 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-02-04 2022-05-20 N
Provide a written emergency evacuation plan. Fire Safety 2022-02-04 2022-05-20 N
To conduct inspection, testing and maintenance of fire doors by qualified individuals. Fire Safety 2022-02-04 2022-05-20 N
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2022-01-28 2022-03-01 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 2022-01-28 2022-03-01 N
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. Health 2022-01-28 2022-03-01 N
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-01-28 2022-03-01 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-01-28 2022-03-01 N
Provide doctor's orders for the resident's immediate care at the time the resident was admitted. Health 2022-01-28 2022-03-01 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-01-28 2022-03-01 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 2022-01-28 2022-03-01 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-01-28 2022-03-01 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2022-01-28 2022-03-01 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-01-28 2022-03-01 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 2022-01-28 2022-03-01 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 2022-01-28 2022-03-01 N
Provide or obtain dental services for each resident. Health 2022-01-28 2022-03-01 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-01-28 2022-03-01 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2022-01-28 2022-03-01 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-01-28 2022-03-01 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 2022-01-28 2022-03-01 N
Provide and implement an infection prevention and control program. Health 2022-01-28 2022-03-01 N
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. Health 2022-01-28 2022-03-01 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 2022-01-28 2022-03-01 N
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 2022-01-28 2020-06-26 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2019-10-10 2019-11-22 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 2019-10-10 2019-11-22 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-10-10 2019-11-22 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 2019-10-10 2019-11-22 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2019-10-10 2019-11-22 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2019-10-10 2019-11-22 N
Provide appropriate foot care. Health 2019-10-10 2019-11-22 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2019-10-10 2019-11-22 N
Provide for the safe, appropriate administration of IV fluids for a resident when needed. Health 2019-10-10 2019-11-22 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2019-10-10 2019-11-22 N
Provide and implement an infection prevention and control program. Health 2019-10-10 2019-11-22 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 2019-10-10 2019-11-22 N
Have properly installed electrical wiring and gas equipment. Fire Safety 2018-09-17 2018-12-17 N
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 2018-09-17 2018-11-01 N
Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. Fire Safety 2018-09-17 2018-11-01 N
Have properly located and lighted "Exit" signs. Fire Safety 2018-09-17 2018-11-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2018-09-17 2018-11-01 N
Install smoke barrier doors that can resist smoke for at least 20 minutes. Fire Safety 2018-09-17 2018-11-01 N
Have an externally vented heating system. Fire Safety 2018-09-17 2018-11-01 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2018-09-17 2018-11-01 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-09-17 2018-11-01 N
Have proper medical gas storage and administration areas. Fire Safety 2018-09-17 2018-11-01 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 2018-08-30 2018-10-12 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 2018-08-30 2018-10-12 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2018-08-30 2018-10-12 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2018-08-30 2018-10-12 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 2018-08-30 2018-10-12 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2018-08-30 2018-10-12 N
Provide safe, appropriate pain management for a resident who requires such services. Health 2018-08-30 2018-10-12 N
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2018-08-30 2018-10-12 N
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. Health 2018-08-30 2018-10-12 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2018-08-30 2018-10-12 N
Ensure medication error rates are not 5 percent or greater. Health 2018-08-30 2018-10-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2018-08-30 2018-10-12 N
Provide and implement an infection prevention and control program. Health 2018-08-30 2018-10-12 N

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