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Deficiency Records for North Starr Postacute Care

A list of the most recent deficiencies for North Starr Postacute Care. 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 North Starr Postacute Care. 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 residents are fully informed and understand their health status, care and treatments. Health 2023-05-31 2023-06-30 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-06 2022-05-30 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-05-06 2022-05-30 N
Ensure medication error rates are not 5 percent or greater. Health 2022-05-06 2022-05-30 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 2022-05-06 2022-05-30 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-05-06 2022-05-30 N
Provide and implement an infection prevention and control program. Health 2022-05-06 2022-05-30 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2022-05-06 2022-05-30 N
Establish policies and procedures for medical documentation. Fire Safety 2022-05-09 2022-05-23 N
Provide a means of sharing information on occupancy/needs. Fire Safety 2022-05-09 2022-05-23 N
Conduct testing and exercise requirements. Fire Safety 2022-05-09 2022-05-23 N
Use approved construction type or materials. Fire Safety 2022-05-09 2022-05-23 N
Install corridor and hallway doors that block smoke. Fire Safety 2022-05-09 2022-05-23 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2021-05-13 2021-06-24 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-05-13 2021-06-24 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 2021-05-13 2021-06-24 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-05-13 2021-06-24 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2021-05-13 2021-06-24 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2021-05-13 2021-06-24 N
Keep all essential equipment working safely. Health 2021-05-13 2021-06-24 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-05-13 2021-06-24 N
Make sure that a working call system is available in each resident's bathroom and bathing area. Health 2021-05-13 2021-06-24 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 2021-05-17 2021-06-01 N
Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. Fire Safety 2021-05-17 2021-06-01 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-05-17 2021-06-01 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2019-11-06 2019-12-16 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2019-11-06 2019-12-16 N
Properly select, install, inspect, or maintain portable fire extinguishes. Fire Safety 2019-11-06 2019-12-16 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2019-10-11 2019-11-01 N
Ensure services provided by the nursing facility meet professional standards of quality. Health 2019-10-11 2019-11-01 N
Observe each nurse aide's job performance and give regular training. Health 2019-10-11 2019-11-01 N
Provide and implement an infection prevention and control program. Health 2019-10-11 2019-11-01 N
Implement a program that monitors antibiotic use. Health 2019-10-11 2019-11-01 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-10-11 2019-11-01 N

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