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Deficiency Records for Noble Care Center
A list of the most recent deficiencies for Noble 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 Noble 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? |
|---|---|---|---|---|
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-01 | 2024-08-31 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-07-26 | 2024-07-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-29 | 2024-06-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-20 | 2024-06-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-20 | 2024-06-07 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-13 | 2024-05-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-12 | 2024-05-01 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-02-28 | 2024-04-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-02-28 | 2024-04-16 | 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 | 2024-02-23 | 2024-03-23 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-02-23 | 2024-03-23 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-02-23 | 2024-03-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-23 | 2024-03-23 | 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 | 2024-02-23 | 2024-03-23 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-02-23 | 2024-03-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-02-23 | 2024-03-23 | 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 | 2024-02-23 | 2024-03-23 | 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 | 2024-02-23 | 2024-03-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-02-23 | 2024-03-23 | 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 | 2024-02-23 | 2024-03-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2024-02-23 | 2024-03-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-02-23 | 2024-03-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-23 | 2024-03-23 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-23 | 2024-03-23 | N |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2024-02-23 | 2024-03-23 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2024-02-23 | 2024-03-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-02-23 | 2024-03-23 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-02-23 | 2024-03-23 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-23 | 2024-03-23 | Y |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2024-01-23 | 2024-02-22 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-11-06 | 2023-11-30 | Y |
| 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 | 2023-09-27 | 2023-10-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-09-23 | 2023-10-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-24 | 2023-08-19 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-02 | 2023-08-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-31 | 2023-06-07 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-03-01 | 2023-03-15 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-02-27 | 2023-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-09 | 2023-03-06 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-13 | 2023-02-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-13 | 2023-02-03 | 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 | 2023-01-13 | 2023-02-03 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-13 | 2023-02-03 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-01-13 | 2023-02-03 | 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 | 2023-01-13 | 2023-02-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-13 | 2023-02-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-13 | 2023-02-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-13 | 2023-02-03 | 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 | 2023-01-13 | 2023-02-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-01-13 | 2023-02-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-01-13 | 2023-02-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-13 | 2023-02-03 | 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 | 2023-01-13 | 2023-02-03 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-01-13 | 2023-02-03 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-01-13 | 2023-02-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-13 | 2023-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-03 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-01-13 | 2023-02-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-01-13 | 2023-02-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-13 | 2023-02-03 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-18 | 2023-02-03 | 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 | 2023-01-18 | 2023-02-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-18 | 2023-02-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-09 | 2023-01-25 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-01-09 | 2023-01-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-09 | 2023-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-09 | 2023-01-25 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-10-21 | 2022-11-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-31 | 2022-09-30 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-11 | 2022-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-06-03 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-03 | 2022-06-02 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-03-09 | 2022-04-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-09 | 2022-04-09 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-09 | 2022-04-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-15 | 2022-03-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-27 | 2022-01-24 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-01 | 2019-05-16 | N |
| Use approved construction type or materials. | Fire Safety | 2019-05-01 | 2019-05-16 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-05-01 | 2019-05-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-01 | 2019-05-16 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-05-01 | 2019-05-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-01 | 2019-05-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-01 | 2019-05-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-07 | 2019-05-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-03-07 | 2019-05-02 | 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 | 2019-03-07 | 2019-05-02 | 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 | 2019-03-07 | 2019-05-02 | 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 | 2019-03-07 | 2019-05-02 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-03-07 | 2019-05-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-07 | 2019-05-02 | N |
| Dispose of garbage and refuse properly. | Health | 2019-03-07 | 2019-05-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-07 | 2019-05-02 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-03-07 | 2019-05-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-03-07 | 2019-05-02 | N |
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