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Deficiency Records for River Hills Health and Rehabilitation Center
A list of the most recent deficiencies for River Hills Health and Rehabilitation 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 River Hills Health and Rehabilitation 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2024-09-09 | 2024-09-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-09 | 2024-09-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-09-09 | 2024-09-30 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2024-09-09 | 2024-09-30 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2024-04-19 | 2024-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-04-19 | 2024-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-04-19 | 2024-05-31 | 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 | 2024-04-19 | 2024-05-31 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-04-19 | 2024-05-31 | 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 | 2024-04-19 | 2024-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-19 | 2024-05-31 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-04-19 | 2024-05-31 | 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 | 2024-04-19 | 2024-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-04-19 | 2024-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-04-19 | 2024-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-04-17 | 2024-05-22 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-04-17 | 2024-05-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-04-17 | 2024-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-04-17 | 2024-04-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-04-17 | 2024-04-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-10 | 2024-01-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-01-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-07 | 2023-08-07 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-07 | 2023-08-07 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-23 | 2023-07-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-30 | 2023-04-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-16 | 2023-03-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-16 | 2023-03-17 | Y |
| 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 | 2023-02-16 | 2023-03-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-16 | 2023-03-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-03-17 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-02-16 | 2023-03-17 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-01 | 2023-03-10 | 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 | 2023-03-04 | 2023-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-04 | 2023-03-05 | 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 | 2023-03-04 | 2023-03-05 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-04 | 2023-03-05 | 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 | 2023-03-04 | 2023-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-04 | 2023-03-05 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-04 | 2023-03-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-03-01 | 2023-03-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-17 | 2021-12-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-19 | 2021-12-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-19 | 2021-12-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-19 | 2021-12-16 | 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 | 2021-11-19 | 2021-12-16 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-11-17 | 2021-12-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-11-19 | 2021-12-08 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-11-17 | 2021-12-08 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-11-17 | 2021-12-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-11-17 | 2021-12-03 | 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 | 2021-11-19 | 2021-11-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-19 | 2021-11-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-19 | 2021-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-19 | 2021-11-20 | 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 | 2021-11-19 | 2021-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-19 | 2021-11-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-17 | 2021-11-20 | N |
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