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Deficiency Records for Richmond Beach Rehab
A list of the most recent deficiencies for Richmond Beach Rehab. 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 Richmond Beach Rehab. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-10-04 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-23 | 2023-10-04 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Provide family notifications of emergency plan. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Establish emergency prep training and testing. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Establish staff and initial training requirements. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-23 | 2023-09-26 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-08-11 | Y |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-07 | 2022-08-10 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-08-10 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-17 | 2022-06-22 | 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 | 2022-05-17 | 2022-06-22 | 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 | 2022-05-17 | 2022-06-22 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-17 | 2022-06-22 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-17 | 2022-06-22 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-17 | 2022-06-22 | 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 | 2022-05-17 | 2022-06-22 | 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 | 2022-05-17 | 2022-06-22 | 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 | 2022-05-17 | 2022-06-22 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-17 | 2022-06-22 | 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 | 2022-05-17 | 2022-06-22 | 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 | 2022-05-17 | 2022-06-22 | N |
Provide and implement an infection prevention and control program. | Health | 2022-05-17 | 2022-06-22 | N |
Implement a program that monitors antibiotic use. | Health | 2022-05-17 | 2022-06-22 | N |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-05-17 | 2022-06-22 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-05-17 | 2022-06-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-17 | 2022-06-22 | Y |
Provide emergency officials' contact information. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Install proper backup exit lighting. | Fire Safety | 2022-05-05 | 2022-06-02 | 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 | 2022-05-05 | 2022-06-02 | N |
Construct fire resistant interior walls. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Have restrictions on the use of portable space heaters. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-05-05 | 2022-06-02 | N |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-05-05 | 2022-06-02 | 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 | 2022-03-15 | 2022-04-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-15 | 2022-02-28 | Y |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2021-10-11 | 2021-11-10 | Y |
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 | 2021-10-11 | 2021-11-10 | Y |
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2020-01-21 | 2020-05-14 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-01-21 | 2020-05-14 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-01-21 | 2020-05-14 | N |
Assess the resident when there is a significant change in condition | Health | 2020-01-21 | 2020-05-14 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-01-21 | 2020-05-14 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-01-21 | 2020-05-14 | N |
Ensure each resident receives an accurate assessment. | Health | 2020-01-21 | 2020-05-14 | N |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2020-01-21 | 2020-05-14 | N |
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. | Health | 2020-01-21 | 2020-05-14 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | N |
Provide activities to meet all resident's needs. | Health | 2020-01-21 | 2020-05-14 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-21 | 2020-05-14 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | N |
Provide or obtain dental services for each resident. | Health | 2020-01-21 | 2020-05-14 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-21 | 2020-05-14 | N |
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2020-01-21 | 2020-05-14 | N |
Provide and implement an infection prevention and control program. | Health | 2020-01-21 | 2020-05-14 | 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 | 2020-01-21 | 2020-05-14 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-07 | 2020-02-03 | N |
Have restrictions on the use of highly flammable decorations. | Fire Safety | 2020-01-07 | 2020-02-03 | N |
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