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Deficiency Records for Patriot Rehabilitation and Wellness Center
A list of the most recent deficiencies for Patriot Rehabilitation and Wellness 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 Patriot Rehabilitation and Wellness 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? |
|---|---|---|---|---|
| Ensure each resident receives an accurate assessment. | Health | 2024-08-13 | 2024-08-14 | Y |
| 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 | 2024-08-13 | 2024-08-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-05 | 2024-08-06 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-08-05 | 2024-08-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-05 | 2024-08-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-19 | 2024-07-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-07-19 | 2024-07-20 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2024-07-19 | 2024-07-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-19 | 2024-07-20 | 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 | 2024-07-19 | 2024-07-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-07-20 | 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 | 2024-07-19 | 2024-07-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-07-19 | 2024-07-20 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-19 | 2024-07-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-07-20 | N |
| Keep all essential equipment working safely. | Health | 2024-07-19 | 2024-07-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-19 | 2024-07-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-19 | 2024-07-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-19 | 2024-07-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-23 | 2024-05-14 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-04-23 | 2024-05-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-04-23 | 2024-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-23 | 2024-05-14 | Y |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-04-23 | 2024-05-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-04-23 | 2024-05-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-10 | 2024-04-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-18 | 2024-04-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2024-02-16 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-12-22 | 2024-01-12 | Y |
| 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 | 2023-12-22 | 2024-01-05 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-22 | 2024-01-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-22 | 2024-01-02 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-17 | 2023-11-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-11-24 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-13 | 2023-10-26 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-13 | 2023-10-26 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-13 | 2023-10-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-26 | 2023-10-06 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-09-26 | 2023-10-06 | Y |
| Post nurse staffing information every day. | Health | 2023-09-26 | 2023-10-06 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-05-24 | 2023-06-23 | 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 | 2023-05-24 | 2023-06-23 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-05-24 | 2023-06-23 | 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 | 2023-05-24 | 2023-06-23 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-05-24 | 2023-06-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-24 | 2023-06-22 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-05-24 | 2023-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-24 | 2023-06-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-24 | 2023-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-24 | 2023-06-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-24 | 2023-05-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-14 | 2023-03-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-14 | 2023-03-05 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-14 | 2023-02-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-01-13 | 2023-02-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-24 | 2023-01-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-24 | 2023-01-11 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-24 | 2023-01-11 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-24 | 2023-01-11 | Y |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-09-08 | 2022-10-08 | Y |
| Post nurse staffing information every day. | Health | 2022-09-08 | 2022-10-08 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2022-09-08 | 2022-10-08 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-09-08 | 2022-10-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-26 | 2022-06-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-05-26 | 2022-06-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-05-26 | 2022-06-11 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-30 | 2022-04-15 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2022-03-11 | 2022-04-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-03-11 | 2022-04-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | 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 |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-03-11 | 2022-04-15 | 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 | 2022-03-11 | 2022-04-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-03-11 | 2022-04-15 | 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 | 2022-04-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-25 | 2022-02-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-12-31 | 2022-02-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-31 | 2022-02-04 | N |
| Post nurse staffing information every day. | Health | 2021-12-31 | 2022-02-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-22 | 2021-12-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-22 | 2021-12-26 | Y |
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