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Deficiency Records for Vineland Post Acute
A list of the most recent deficiencies for Vineland Post Acute. 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 Vineland Post Acute. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-12 | 2023-12-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-11-12 | 2023-12-07 | 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 | 2023-11-12 | 2023-12-07 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-11-12 | 2023-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-12 | 2023-12-07 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-11-12 | 2023-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-12 | 2023-12-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-12 | 2023-12-07 | 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 | 2023-11-12 | 2023-12-07 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-12 | 2023-12-07 | 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 | 2023-11-12 | 2023-12-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-11-12 | 2023-12-07 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-11-12 | 2023-12-07 | 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 | 2023-11-12 | 2023-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-11-12 | 2023-12-07 | 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 | 2023-11-12 | 2023-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-12 | 2023-12-07 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-11-12 | 2023-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-12 | 2023-12-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-11-12 | 2023-12-07 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-11-13 | 2023-12-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-13 | 2023-12-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-11-13 | 2023-12-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-11-13 | 2023-12-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-06 | 2023-07-21 | Y |
| Follow rules about disclosure of ownership requirements and tell the state agency about changes in ownership and/or administrative personnel. | Health | 2023-06-13 | 2023-06-26 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2021-12-09 | 2022-04-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-21 | 2022-01-11 | 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 | 2021-12-21 | 2022-01-11 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-12-21 | 2022-01-11 | 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 | 2021-12-21 | 2022-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-21 | 2022-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-09 | 2021-12-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-09 | 2021-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-09 | 2021-12-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-09 | 2021-12-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-09 | 2021-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-09 | 2021-12-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-09 | 2021-12-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-07-01 | 2019-07-31 | N |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-07-01 | 2019-07-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-01 | 2019-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-01 | 2019-07-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-01 | 2019-07-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-01 | 2019-07-31 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-01 | 2019-07-31 | 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 | 2019-07-01 | 2019-07-31 | 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 | 2019-07-01 | 2019-07-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-07-01 | 2019-07-31 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-01 | 2019-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-01 | 2019-07-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-07-01 | 2019-07-31 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-07-01 | 2019-07-22 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-06-29 | 2019-07-22 | 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 | 2019-06-29 | 2019-07-22 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Install proper backup exit lighting. | Fire Safety | 2019-06-29 | 2019-07-22 | 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 | 2019-06-29 | 2019-07-22 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-29 | 2019-07-22 | N |
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