Deficiency Records for Jewish Home and Rehab Center D/p Snf
Updated as of February 01, 2023
This is not the most recent data for Jewish Home and Rehab Center D/p Snf. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 2022-11-03 | 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 | 2022-11-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-28 | 2022-11-03 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-07-28 | 2022-11-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-07 | 2022-09-29 | 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 |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-02-24 | 2021-04-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-02-24 | 2021-04-16 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2021-02-24 | 2021-04-16 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-02-24 | 2021-04-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-02-24 | 2021-04-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-23 | 2021-04-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-12-04 | 2021-02-10 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2020-12-14 | 2021-02-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-11-16 | 2021-01-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-15 | 2020-11-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-15 | 2020-11-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2020-09-15 | 2020-11-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-14 | 2020-11-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-09-14 | 2020-11-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-14 | 2020-11-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-14 | 2020-11-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-11 | 2020-11-02 | 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 |
| Use approved construction type or materials. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-05-03 | 2017-06-26 | 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 | 2017-05-03 | 2017-06-26 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2017-05-03 | 2017-06-26 | N |
| Keep each resident free from physical restraints, unless needed for medical treatment. | Health | 2017-05-02 | 2017-06-23 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-05-02 | 2017-06-23 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-05-02 | 2017-06-23 | N |
| Provide housekeeping and maintenance services. | Health | 2017-05-02 | 2017-06-23 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-05-02 | 2017-06-23 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-05-02 | 2017-06-23 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-05-02 | 2017-06-23 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2017-05-02 | 2017-06-23 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-05-02 | 2017-06-23 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-05-02 | 2017-06-23 | N |
| Provide bedrooms that don't allow residents to see each other when privacy is needed. | Health | 2017-05-02 | 2017-06-23 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-05-02 | 2017-06-23 | N |
