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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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