Deficiency Records for Rim Country Health and Retirement Community
Updated as of April 01, 2024
A list of the most recent deficiencies for Rim Country Health and Retirement Community. 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 | 2023-06-09 | 2023-08-18 | N |
| Respond appropriately to all alleged violations. | Health | 2023-06-09 | 2023-08-18 | 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 | 2023-06-09 | 2023-08-18 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-09 | 2023-08-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-08-18 | 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 | 2023-06-09 | 2023-08-18 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-06-09 | 2023-08-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-09 | 2023-08-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-09 | 2023-08-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-08-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-09 | 2023-08-18 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2023-06-09 | 2023-08-07 | 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 | 2023-06-09 | 2023-08-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-09 | 2023-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-09 | 2023-08-07 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-04-08 | 2022-06-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-08 | 2022-06-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-04-08 | 2022-06-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-04-08 | 2022-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-04-08 | 2022-06-15 | N |
| Respond appropriately to all alleged violations. | Health | 2022-04-08 | 2022-06-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-08 | 2022-06-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-04-08 | 2022-06-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-08 | 2022-06-15 | 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 | 2022-04-08 | 2022-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-04-08 | 2022-06-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-08 | 2022-06-15 | N |
| Provide activities to meet all resident's needs. | Health | 2022-04-08 | 2022-06-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-04-08 | 2022-06-15 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-04-08 | 2022-06-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-04-08 | 2022-06-15 | 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 | 2022-04-08 | 2022-06-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-08 | 2022-06-15 | 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 | 2022-04-08 | 2022-06-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-08 | 2022-06-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-04-08 | 2022-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-08 | 2022-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-08 | 2022-06-15 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-08 | 2022-06-15 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-08 | 2022-06-15 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-04-08 | 2022-05-18 | 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 | 2022-04-08 | 2022-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-08 | 2022-05-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-08 | 2022-05-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-08 | 2022-05-18 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-04-08 | 2022-05-18 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-08-31 | 2021-10-02 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-11-25 | 2020-01-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-25 | 2020-01-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-25 | 2020-01-16 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-11-25 | 2020-01-16 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-25 | 2020-01-16 | 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 | 2019-11-25 | 2020-01-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-25 | 2020-01-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-25 | 2020-01-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-25 | 2020-01-16 | N |
| 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 | 2019-11-25 | 2020-01-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-11-25 | 2020-01-16 | 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 | 2019-11-25 | 2020-01-16 | N |
| Meet other general requirements. | Fire Safety | 2019-11-22 | 2020-01-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-22 | 2020-01-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-22 | 2020-01-13 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-22 | 2020-01-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-22 | 2020-01-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-22 | 2020-01-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-11-22 | 2020-01-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-02-03 | Not Fixed | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-02-03 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-03 | Not Fixed | Y |
