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Deficiency Records for Rayburn Health Care and Rehabilitation
A list of the most recent deficiencies for Rayburn Health Care and Rehabilitation. 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 Rayburn Health Care and Rehabilitation. 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? |
|---|---|---|---|---|
| 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 | 2024-10-23 | 2024-12-15 | 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 | 2024-10-23 | 2024-12-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-22 | 2024-12-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-10-23 | 2024-11-30 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-10-23 | 2024-11-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-23 | 2024-11-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-10-23 | 2024-11-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-10-23 | 2024-11-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-10-23 | 2024-11-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-22 | 2024-11-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-10-22 | 2024-11-30 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-08-30 | 2023-09-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-30 | 2023-09-30 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-30 | 2023-09-30 | Y |
| Provide or obtain dental services for each resident. | Health | 2023-08-30 | 2023-09-30 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-08-30 | 2023-09-30 | Y |
| Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-08-30 | 2023-09-30 | Y |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2023-08-30 | 2023-09-30 | Y |
| Have policies on smoking. | Health | 2023-08-30 | 2023-09-30 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-30 | 2023-09-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-14 | 2022-08-30 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-14 | 2022-08-15 | N |
| Keep all essential equipment working safely. | Health | 2022-06-28 | 2022-07-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-06-28 | 2022-07-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-06-28 | 2022-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-28 | 2022-07-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-06-28 | 2022-07-01 | N |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2022-05-06 | 2022-05-23 | Y |
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