A list of the most recent deficiencies for Jamestown Nursing and Rehab, LLC. 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 that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-10 | 2023-06-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-18 | 2023-06-11 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-18 | 2023-06-11 | 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 | 2023-05-18 | 2023-06-11 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-18 | 2023-06-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-18 | 2023-06-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-05-18 | 2023-06-11 | 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 | 2023-05-18 | 2023-06-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-18 | 2023-06-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-18 | 2023-06-11 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-05-16 | 2023-06-11 | N |
| Provide activities to meet all resident's needs. | Health | 2022-12-30 | 2023-01-29 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-11-18 | 2022-12-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-03-29 | 2022-04-28 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-20 | 2022-02-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-01-20 | 2022-02-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-20 | 2022-02-19 | 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 | 2022-01-20 | 2022-02-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-20 | 2022-02-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-01-20 | 2022-02-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-20 | 2022-02-19 | 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 | 2022-01-20 | 2022-02-19 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-01-20 | 2022-02-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-20 | 2022-02-19 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-20 | 2022-02-19 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-01-20 | 2022-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-20 | 2022-02-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-20 | 2022-02-19 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-01-20 | 2022-01-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-20 | 2022-01-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-13 | 2020-12-15 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2020-11-13 | 2020-12-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-11-13 | 2020-12-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-11-13 | 2020-12-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-11-13 | 2020-12-15 | 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 | 2020-11-13 | 2020-12-15 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-11-13 | 2020-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-11-13 | 2020-12-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-13 | 2020-12-15 | N |
| Use approved construction type or materials. | Fire Safety | 2020-11-09 | 2020-11-30 | 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 | 2020-11-09 | 2020-11-30 | N |
