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Deficiency Records for Cascades at Galveston
A list of the most recent deficiencies for Cascades at Galveston. 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 Cascades at Galveston. 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 free from significant medication errors. | Health | 2024-05-17 | 2024-05-24 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-05-17 | 2024-05-24 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-29 | 2024-05-01 | N |
Assess the resident when there is a significant change in condition | Health | 2024-03-29 | 2024-05-01 | N |
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-03-29 | 2024-05-01 | N |
Ensure each resident receives an accurate assessment. | Health | 2024-03-29 | 2024-05-01 | 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 | 2024-03-29 | 2024-05-01 | N |
Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-29 | 2024-05-01 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-03-29 | 2024-05-01 | Y |
Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2024-03-29 | 2024-05-01 | Y |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-26 | 2024-04-23 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-03-26 | 2024-04-19 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-03-26 | 2024-04-01 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-26 | 2024-04-01 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2024-03-26 | 2024-04-01 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-03-08 | 2024-03-13 | Y |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-28 | 2023-11-27 | Y |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-10-28 | 2023-11-27 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-28 | 2023-10-30 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-28 | 2023-10-30 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-16 | 2023-05-17 | Y |
Honor the resident's right to manage his or her financial affairs. | Health | 2023-01-27 | 2023-02-20 | 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 | 2023-01-27 | 2023-02-20 | Y |
Ensure each resident receives an accurate assessment. | Health | 2023-01-27 | 2023-02-20 | Y |
PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-01-27 | 2023-02-20 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-27 | 2023-02-20 | 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 | 2023-01-27 | 2023-02-20 | Y |
Ensure medication error rates are not 5 percent or greater. | Health | 2023-01-27 | 2023-02-20 | Y |
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-01-27 | 2023-02-20 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-24 | 2023-02-20 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-24 | 2023-02-20 | N |
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2022-03-11 | 2022-04-15 | Y |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-11 | 2022-04-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-03-11 | 2022-04-15 | Y |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-11 | 2022-04-15 | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-15 | 2022-03-25 | Y |
Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-02-15 | 2022-03-25 | Y |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-15 | 2022-03-25 | Y |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-10-26 | 2021-11-15 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-10-26 | 2021-11-15 | 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 | 2021-10-05 | 2021-11-01 | Y |
Ensure that residents are free from significant medication errors. | Health | 2021-10-05 | 2021-11-01 | Y |
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