CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Pelican Ridge Post Acute
View the most recent health deficiencies and inspection results for Pelican Ridge Post Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pelican Ridge Post Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2026-03-16 | 2026-03-30 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-02-03 | 2026-03-05 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-10-06 | 2025-11-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-10-06 | 2025-11-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-10-06 | 2025-11-05 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-10-06 | 2025-11-05 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2025-10-06 | 2025-11-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-09-25 | 2025-10-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-09-25 | 2025-10-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-25 | 2025-10-25 | 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 | 2025-09-25 | 2025-10-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-25 | 2025-10-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-09-25 | 2025-10-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-09-25 | 2025-10-25 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-09-25 | 2025-10-25 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-09-25 | 2025-10-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-09-25 | 2025-10-25 | Y |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Meet other general requirements. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-19 | 2025-09-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-19 | 2025-09-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-19 | 2025-09-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-19 | 2025-09-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-19 | 2025-09-18 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-08-19 | 2025-09-18 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-19 | 2025-09-18 | 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 | 2025-08-19 | 2025-09-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-19 | 2025-09-18 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2025-08-19 | 2025-09-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-08-19 | 2025-09-18 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2025-08-19 | 2025-09-18 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-19 | 2025-09-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-19 | 2025-09-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-19 | 2025-09-18 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-19 | 2025-09-18 | 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 | 2025-08-19 | 2025-09-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-08-19 | 2025-09-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-19 | 2025-09-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-19 | 2025-09-18 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-07-09 | 2025-08-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-07-09 | 2025-08-08 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-04-18 | 2025-05-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-04-18 | 2025-05-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-18 | 2025-05-18 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-18 | 2025-03-20 | 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 | 2025-01-29 | 2025-02-28 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-12-12 | 2025-01-12 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-19 | 2024-08-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-08-19 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-08-19 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-07-19 | 2024-08-19 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-19 | 2024-08-19 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-19 | 2024-08-19 | N |
| Keep all essential equipment working safely. | Health | 2024-07-19 | 2024-08-19 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2024-07-19 | 2024-08-19 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-07-19 | 2024-08-19 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2024-07-19 | 2024-08-19 | 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 | 2024-07-19 | 2024-08-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-19 | 2024-08-19 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-07-19 | 2024-08-19 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-07-19 | 2024-08-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-19 | 2024-08-19 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-19 | 2024-08-19 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-19 | 2024-08-12 | 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 | 2024-07-19 | 2024-08-12 | 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 | 2024-07-19 | 2024-08-12 | N |
| Use approved construction type or materials. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2024-07-19 | 2024-08-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-21 | 2024-06-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-06 | 2024-06-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-19 | 2024-04-18 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-03-19 | 2024-04-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-03-05 | 2024-04-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-10-04 | 2023-11-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-23 | 2023-09-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-23 | 2023-09-22 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-07-12 | 2022-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-12 | 2022-08-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-12 | 2022-08-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-12 | 2022-08-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-12 | 2022-08-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-12 | 2022-08-11 | 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 | 2022-07-12 | 2022-08-11 | 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 | 2022-07-12 | 2022-08-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-12 | 2022-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-12 | 2022-08-11 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-07-12 | 2022-08-11 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-07-12 | 2022-08-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-12 | 2022-08-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-12 | 2022-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-12 | 2022-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-12 | 2022-08-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-07-12 | 2022-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-12 | 2022-08-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-07-12 | 2022-08-05 | N |
| Use approved construction type or materials. | Fire Safety | 2022-07-12 | 2022-08-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-07-12 | 2022-08-05 | N |