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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 |
| 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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