Deficiency Records for The Rehabilitation Center at The Palazzo
Updated as of March 01, 2024
A list of the most recent deficiencies for The Rehabilitation Center at The Palazzo. 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 the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-09-08 | 2023-10-27 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-08 | 2023-10-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-09-08 | 2023-10-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-09-08 | 2023-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-08 | 2023-10-27 | 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 | 2023-09-08 | 2023-10-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-08 | 2023-10-27 | Y |
| 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 | 2023-09-08 | 2023-10-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-08 | 2023-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-08 | 2023-10-27 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-28 | 2022-09-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-28 | 2022-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-28 | 2022-09-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-28 | 2022-09-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-07-28 | 2022-09-12 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-07-28 | 2022-09-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-07-28 | 2022-08-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-28 | 2022-08-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-28 | 2022-08-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-28 | 2022-08-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-28 | 2022-08-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-28 | 2022-08-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-07-28 | 2022-08-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-28 | 2022-08-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-07-28 | 2022-08-30 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-07-28 | 2022-08-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-28 | 2022-08-30 | 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 | 2022-07-28 | 2022-08-30 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2022-07-28 | 2022-08-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-01 | 2020-11-16 | N |
| Post nurse staffing information every day. | Health | 2020-10-01 | 2020-11-16 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-10-01 | 2020-11-16 | 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 | 2020-10-01 | 2020-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-01 | 2020-11-16 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-10-01 | 2020-11-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Install proper backup exit lighting. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-10-02 | 2020-11-16 | N |
