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Deficiency Records for Nesbit Living and Recovery Center

A list of the most recent deficiencies for Nesbit Living and Recovery 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 Nesbit Living and Recovery 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 appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-07-07 2024-07-08 Y
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. Health 2024-07-07 2024-06-18 Y
Reasonably accommodate the needs and preferences of each resident. Health 2024-06-05 2024-06-07 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2024-06-05 2024-06-07 N
Keep residents' personal and medical records private and confidential. Health 2024-06-05 2024-06-07 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 2024-06-05 2024-06-07 N
PASARR screening for Mental disorders or Intellectual Disabilities Health 2024-06-05 2024-06-07 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2024-06-05 2024-06-07 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-06-05 2024-06-07 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-06-05 2024-06-07 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-06-05 2024-06-07 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 2024-06-05 2024-06-07 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 2024-06-05 2024-06-07 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-06-05 2024-06-07 N
Have a policy regarding use and storage of foods brought to residents by family and other visitors. Health 2024-06-05 2024-06-07 N
Provide and implement an infection prevention and control program. Health 2024-06-05 2024-06-07 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 2024-06-05 2024-06-07 Y
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2024-06-04 2024-06-07 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-06-04 2024-06-07 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2024-05-16 2024-06-05 Y
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2024-06-04 2024-06-05 N
Employ staff that are licensed, certified, or registered in accordance with state laws. Health 2024-03-22 2024-04-22 Y
Keep aisles, corridors, and exits free of obstruction in case of emergency. Fire Safety 2023-05-24 2023-06-16 N
Provide properly protected cooking facilities. Fire Safety 2023-05-24 2023-06-16 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2023-05-24 2023-06-16 N
Allow resident to participate in the development and implementation of his or her person-centered plan of care. Health 2023-05-05 2023-05-12 N
Assure the security of all personal funds of residents deposited with the facility. Health 2023-05-05 2023-05-12 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 2023-05-05 2023-05-12 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 2023-05-05 2023-05-12 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 2023-05-05 2023-05-12 N
Ensure medication error rates are not 5 percent or greater. Health 2023-05-05 2023-05-12 N
Ensure that residents are free from significant medication errors. Health 2023-05-05 2023-05-12 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2023-05-05 2023-05-12 N
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. Health 2023-05-05 2023-05-12 N
Hire a qualified full-time social worker in a facility with more than 120 beds. Health 2023-05-05 2023-05-12 N
Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. Health 2023-05-05 2023-05-12 N
Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. Health 2023-05-05 2023-05-12 N
Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. Health 2023-05-05 2023-05-12 N
Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. Health 2023-05-05 2023-05-12 N
Provide training in compliance and ethics. Health 2023-05-05 2023-05-12 N
Provide behavior health training consistent with the requirements and as determined by a facility assessment. Health 2023-05-05 2023-05-12 N
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2023-05-05 2023-05-09 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 2022-10-20 2022-11-01 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 2022-10-04 2022-10-05 Y
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-07-01 2022-08-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-07-01 2022-08-28 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2022-08-19 2022-08-20 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-08-19 2022-08-20 Y
Provide and implement an infection prevention and control program. Health 2022-08-19 2022-08-20 Y
Assess the resident when there is a significant change in condition Health 2022-03-11 2022-04-15 N
Ensure each resident receives an accurate assessment. Health 2022-03-11 2022-04-15 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-03-11 2022-04-15 N
Post nurse staffing information every day. Health 2022-03-11 2022-04-08 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-03-11 2022-04-08 N
Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. Health 2022-03-11 2022-04-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2022-03-11 2022-04-08 N
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. Fire Safety 2022-03-10 2022-04-08 N
Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. Fire Safety 2022-03-10 2022-04-08 N
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. Fire Safety 2022-03-10 2022-04-08 N

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