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Deficiency Records for Glenburnie Rehab and Nursing Center
A list of the most recent deficiencies for Glenburnie Rehab 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 Glenburnie Rehab 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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-14 | 2024-06-26 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-05-14 | 2024-06-26 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-05-14 | 2024-06-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-25 | 2024-03-08 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-01-25 | 2024-03-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-01-25 | 2024-03-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-25 | 2024-03-08 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-01-25 | 2024-03-08 | N |
| Post nurse staffing information every day. | Health | 2024-01-25 | 2024-03-08 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-25 | 2024-03-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-25 | 2024-03-08 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2024-01-25 | 2024-03-08 | 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 | 2024-01-25 | 2024-03-08 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-01-25 | 2024-03-08 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-25 | 2024-03-08 | Y |
| 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 | 2024-01-25 | 2024-03-08 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-01-25 | 2024-03-08 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-01-25 | 2024-03-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-25 | 2024-03-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-01-25 | 2024-03-08 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-25 | 2024-03-08 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-29 | 2024-03-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2024-01-29 | 2024-03-05 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-18 | 2023-04-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-18 | 2023-04-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-02-18 | 2023-04-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-18 | 2023-04-05 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-02-18 | 2023-04-05 | N |
| Meet other general requirements. | Fire Safety | 2023-02-18 | 2023-04-05 | 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 | 2023-02-08 | 2023-03-21 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-08 | 2023-03-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-02-08 | 2023-03-21 | 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 | 2023-02-08 | 2023-03-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-08 | 2023-03-21 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-02-08 | 2023-03-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-08 | 2023-03-21 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-02-08 | 2023-03-21 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2023-02-08 | 2023-03-21 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-02-08 | 2023-03-21 | 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 | 2023-02-08 | 2023-03-21 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-02-08 | 2023-03-21 | N |
| Post nurse staffing information every day. | Health | 2023-02-08 | 2023-03-21 | 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 | 2023-02-08 | 2023-03-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-02-08 | 2023-03-21 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-08 | 2023-03-21 | 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 | 2023-02-08 | 2023-03-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-08 | 2023-03-21 | 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 | 2023-02-08 | 2023-03-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-08 | 2023-03-21 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-02-08 | 2023-03-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-08 | 2023-03-21 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-02-08 | 2023-03-21 | Y |
| 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 | 2023-02-08 | 2023-03-21 | Y |
| 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 | 2023-02-08 | 2023-03-21 | Y |
| 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 | 2023-02-08 | 2023-03-21 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-02-08 | 2023-03-21 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-02-08 | 2023-03-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-08 | 2023-03-21 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-08 | 2023-03-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-08 | 2023-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-08 | 2023-03-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-02-08 | 2023-03-21 | Y |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2023-02-08 | 2023-03-21 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-08 | 2023-03-21 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-02-08 | 2023-03-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-08 | 2023-03-21 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-08 | 2023-03-21 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-08 | 2023-03-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-12-28 | 2023-01-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-28 | 2023-01-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-28 | 2023-01-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-12-28 | 2023-01-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-12-28 | 2023-01-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-12-28 | 2023-01-30 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-28 | 2023-01-30 | Y |
| 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 | 2022-06-22 | 2022-07-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-09 | 2021-11-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2021-11-19 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-11-09 | 2021-11-19 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2021-08-04 | 2021-09-02 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-29 | 2021-08-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-07-29 | 2021-08-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-29 | 2021-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-29 | 2021-08-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-07-29 | 2021-08-20 | N |
| Post nurse staffing information every day. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-08-20 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-08-20 | N |
| Dispose of garbage and refuse properly. | Health | 2021-07-29 | 2021-08-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-07-29 | 2021-08-20 | N |
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