Deficiency Records for Jewish Home and Rehab Center D/p Snf
Updated as of March 01, 2024
A list of the most recent deficiencies for Jewish Home and Rehab Center D/p Snf. 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 a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-28 | 2023-10-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-17 | 2023-09-29 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-08-29 | 2023-09-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-29 | 2023-09-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-06-27 | 2023-08-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-27 | 2023-08-29 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-06-27 | 2023-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-27 | 2023-08-29 | N |
| Dispose of garbage and refuse properly. | Health | 2023-06-27 | 2023-08-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-27 | 2023-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-27 | 2023-08-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-27 | 2023-08-29 | 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 | 2023-07-10 | 2023-08-17 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-06-27 | 2023-08-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-06-27 | 2023-08-04 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-06-27 | 2023-08-04 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-06-27 | 2023-08-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-27 | 2023-08-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-27 | 2023-08-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-27 | 2023-08-04 | 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 | 2023-06-27 | 2023-08-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-27 | 2023-08-04 | 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 | 2023-06-27 | 2023-08-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-29 | 2023-07-31 | 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 | 2023-06-29 | 2023-07-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-06-29 | 2023-07-31 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-05-30 | 2023-06-19 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-01-23 | 2023-04-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-23 | 2023-04-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-01-23 | 2023-04-30 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-12-29 | 2023-04-07 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-29 | 2023-04-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-29 | 2023-04-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-12-29 | 2023-04-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-12-21 | 2023-03-14 | Y |
| 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 | 2022-12-21 | 2023-03-14 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-28 | 2022-10-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-28 | 2022-10-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-28 | 2022-10-15 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-28 | 2022-10-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-06-17 | 2021-09-02 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-26 | 2019-07-11 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-26 | 2019-07-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-26 | 2019-07-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-26 | 2019-07-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-26 | 2019-07-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-26 | 2019-07-11 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-04-26 | 2019-07-11 | 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 | 2019-04-26 | 2019-07-11 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-04-26 | 2019-07-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-04-26 | 2019-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-26 | 2019-07-11 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-04-26 | 2019-07-11 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-26 | 2019-07-11 | N |
| 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 | 2019-04-26 | 2019-07-11 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-19 | 2019-07-02 | 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 | 2019-06-19 | 2019-07-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-19 | 2019-07-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-19 | 2019-07-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-19 | 2019-07-02 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2019-06-19 | 2019-07-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-06-19 | 2019-07-02 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-06-19 | 2019-07-02 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-05-21 | 2018-08-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-21 | 2018-08-02 | 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 | 2018-05-21 | 2018-08-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-21 | 2018-08-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-05-21 | 2018-08-02 | 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 | 2018-05-21 | 2018-08-02 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-21 | 2018-08-02 | 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 | 2018-05-21 | 2018-08-02 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-05-21 | 2018-08-02 | 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 | 2018-05-21 | 2018-08-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-21 | 2018-08-02 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-05-21 | 2018-08-02 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2018-05-21 | 2018-08-02 | N |
| Use approved construction type or materials. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-07-19 | 2018-08-01 | N |
