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Deficiency Records for Landmark Care and Rehabilitation
A list of the most recent deficiencies for Landmark Care and Rehabilitation. 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 Landmark Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Keep residents' personal and medical records private and confidential. | Health | 2024-08-23 | 2024-10-03 | 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 | 2024-08-23 | 2024-10-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-23 | 2024-10-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-23 | 2024-10-03 | Y |
| 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 | 2024-08-08 | 2024-09-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-22 | 2024-07-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-05-13 | 2024-07-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-22 | 2024-07-02 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-05-22 | 2024-07-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-05-22 | 2024-07-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-22 | 2024-07-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-22 | 2024-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-22 | 2024-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-22 | 2024-07-02 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-22 | 2024-07-02 | 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 | 2024-05-22 | 2024-07-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-05-22 | 2024-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-22 | 2024-07-02 | N |
| Keep all essential equipment working safely. | Health | 2024-05-22 | 2024-07-02 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Meet other general requirements. | Fire Safety | 2024-05-13 | 2024-06-17 | 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 | 2024-05-13 | 2024-06-17 | 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 | 2024-05-13 | 2024-06-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-05-13 | 2024-06-17 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-12 | 2024-04-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-03-12 | 2024-04-17 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-12 | 2024-04-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-16 | 2024-03-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-16 | 2024-03-21 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-11-29 | 2024-01-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-29 | 2024-01-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-28 | 2023-09-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-14 | 2023-06-23 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-05-04 | 2023-05-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-05-04 | 2023-05-13 | Y |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2023-04-12 | 2023-05-13 | N |
| Respond appropriately to all alleged violations. | Health | 2023-04-12 | 2023-05-13 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-04-12 | 2023-05-13 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-04-12 | 2023-05-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-12 | 2023-05-13 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-04-12 | 2023-05-13 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-12 | 2023-05-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-04-12 | 2023-05-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-04-12 | 2023-05-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-04-10 | 2023-05-13 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2022-05-20 | 2022-06-20 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-05-20 | 2022-06-20 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-08-17 | 2021-09-22 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-08-17 | 2021-09-22 | 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 | 2021-08-17 | 2021-09-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-08-17 | 2021-09-22 | N |
| Provide activities to meet all resident's needs. | Health | 2021-08-17 | 2021-09-22 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-17 | 2021-09-22 | 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 | 2021-08-17 | 2021-09-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-17 | 2021-09-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-17 | 2021-09-22 | 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 | 2021-08-17 | 2021-09-22 | 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 | 2021-08-17 | 2021-09-22 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-08-17 | 2021-09-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-17 | 2021-09-22 | N |
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