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Deficiency Records for Polaris Rehabilitation and Care Center
A list of the most recent deficiencies for Polaris Rehabilitation and Care 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 Polaris Rehabilitation and Care 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-06-26 | 2024-07-22 | 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 | 2024-06-26 | 2024-07-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-26 | 2024-07-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-06-26 | 2024-07-22 | N |
| Post nurse staffing information every day. | Health | 2024-06-26 | 2024-07-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-06-26 | 2024-07-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-06-24 | 2024-07-22 | N |
| Develop a communication plan. | Fire Safety | 2024-06-24 | 2024-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-06-24 | 2024-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-24 | 2024-07-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-24 | 2024-07-22 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2024-06-24 | 2024-07-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-01-19 | 2024-01-22 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-19 | 2024-01-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-01-19 | 2024-01-19 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-21 | 2023-07-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-21 | 2023-07-14 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-21 | 2023-07-14 | 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 | 2023-06-22 | 2023-07-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-06-22 | 2023-07-13 | 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 | 2023-06-22 | 2023-07-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-22 | 2023-07-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-22 | 2023-01-17 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-22 | 2023-01-17 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-12-22 | 2023-01-17 | Y |
| 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 | 2022-12-22 | 2023-01-17 | 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 | 2022-12-22 | 2023-01-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-12-22 | 2023-01-17 | Y |
| 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 | 2022-12-22 | 2023-01-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-22 | 2023-01-17 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-12-22 | 2023-01-17 | Y |
| Meet other general requirements. | Fire Safety | 2022-12-20 | 2023-01-17 | 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 | 2022-12-20 | 2023-01-17 | 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 | 2022-12-20 | 2023-01-17 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-12-20 | 2023-01-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-12-20 | 2023-01-17 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-20 | 2023-01-17 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-20 | 2023-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-01 | 2022-08-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-07-01 | 2022-08-03 | Y |
| 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 | 2022-07-01 | 2022-07-28 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-07-01 | 2022-07-26 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-01 | 2022-07-25 | Y |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-07-01 | 2022-07-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-01 | 2022-07-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-01 | 2022-07-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-01 | 2022-07-25 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2022-07-01 | 2022-07-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-01 | 2022-07-22 | Y |
| 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 | 2022-07-01 | 2022-07-22 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-07-01 | 2022-07-22 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2022-07-01 | 2022-07-22 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-07-01 | 2022-07-22 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2022-07-01 | 2022-07-19 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-08 | 2022-05-23 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-04-08 | 2022-05-23 | Y |
| 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 | 2022-04-08 | 2022-05-23 | Y |
| 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 | 2022-04-08 | 2022-05-23 | Y |
| Assess the resident when there is a significant change in condition | Health | 2021-12-13 | 2022-01-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-13 | 2022-01-14 | Y |
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