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Deficiency Records for Rowntree Gardens
A list of the most recent deficiencies for Rowntree Gardens. 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 Rowntree Gardens. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-10-29 | 2024-11-29 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-10-29 | 2024-11-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-29 | 2024-11-29 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-29 | 2024-11-29 | 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 | 2024-10-29 | 2024-11-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-10-29 | 2024-11-29 | 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 | 2024-10-29 | 2024-11-29 | 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 | 2024-10-29 | 2024-11-29 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-10-29 | 2024-11-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-10-29 | 2024-11-29 | 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 | 2024-10-29 | 2024-11-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-10-29 | 2024-11-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-10-29 | 2024-11-29 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-10-29 | 2024-11-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-10-29 | 2024-11-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-10-29 | 2024-11-29 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-10-29 | 2024-11-29 | N |
| Use approved construction type or materials. | Fire Safety | 2024-10-29 | 2024-11-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-10-29 | 2024-11-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-29 | 2024-11-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-29 | 2024-11-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-29 | 2024-11-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-29 | 2024-11-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-10-29 | 2024-11-08 | 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 | 2023-03-03 | 2023-04-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-03 | 2023-04-19 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-03-03 | 2023-04-19 | 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 | 2023-03-03 | 2023-04-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-03 | 2023-04-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-03 | 2023-04-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-03 | 2023-04-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-03 | 2023-04-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-03 | 2023-04-19 | 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 | 2023-03-03 | 2023-04-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-03 | 2023-04-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-03 | 2023-04-19 | 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 | 2023-03-03 | 2023-04-19 | 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 | 2023-03-03 | 2023-04-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-03 | 2023-04-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-03-03 | 2023-04-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-03 | 2023-04-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-04-19 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2023-03-03 | 2023-04-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-03 | 2023-04-19 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-04-19 | Y |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-09 | 2023-03-28 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-12-20 | 2020-01-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-09 | 2020-01-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-09 | 2020-01-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-09 | 2020-01-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-09 | 2020-01-07 | 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 | 2019-12-09 | 2020-01-07 | 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 | 2019-12-09 | 2020-01-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-09 | 2020-01-07 | N |
| Dispose of garbage and refuse properly. | Health | 2019-12-09 | 2020-01-07 | N |
| Keep all essential equipment working safely. | Health | 2019-12-09 | 2020-01-07 | N |
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