A list of the most recent deficiencies for Superior Health 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? |
|---|---|---|---|---|
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-09 | 2023-06-09 | N |
| 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 | 2023-05-09 | 2023-06-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-12 | 2023-06-01 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-05-12 | 2023-06-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-12 | 2023-06-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2023-05-12 | 2023-05-30 | 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 | 2022-03-10 | 2022-04-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-10 | 2022-04-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-10 | 2022-04-08 | N |
| Report COVID19 data to residents and families. | Health | 2022-03-10 | 2022-04-08 | 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 | 2022-03-10 | 2022-04-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-03-10 | 2022-04-08 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-10 | 2022-03-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-12-11 | 2021-01-15 | 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 | 2020-12-11 | 2021-01-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-12-11 | 2021-01-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-12-11 | 2021-01-08 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-12-09 | 2021-01-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-12-11 | 2021-01-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-12-11 | 2021-01-01 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-12-11 | 2021-01-01 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-12-11 | 2021-01-01 | N |
| Post nurse staffing information every day. | Health | 2020-12-11 | 2020-12-11 | N |
