Deficiency Records for Upland Rehabilitation and Care Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Upland Rehabilitation and Care Center. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-08-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-01-03 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-06-27 | 2022-07-14 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-06-27 | 2022-07-14 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-06-27 | 2022-07-14 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-06-27 | 2022-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-06 | 2022-05-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-06 | 2022-05-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-05-06 | 2022-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-06 | 2022-05-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-06 | 2022-05-31 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-05-06 | 2022-05-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-02-08 | 2022-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-02-01 | 2022-02-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-30 | 2021-12-30 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-07-30 | 2021-08-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-31 | 2021-08-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-17 | 2021-06-01 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-08-29 | 2019-09-19 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-08-29 | 2019-09-19 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-08-29 | 2019-09-19 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-08-29 | 2019-09-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-29 | 2019-09-19 | N |
| 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 | 2019-08-09 | 2019-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-08-09 | 2019-08-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-08-09 | 2019-08-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-23 | 2018-11-28 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-07-27 | 2018-08-27 | 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 | 2018-07-27 | 2018-08-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-27 | 2018-08-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-07-27 | 2018-08-27 | 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 | 2018-07-27 | 2018-08-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-27 | 2018-08-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-27 | 2018-08-27 | N |
| 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 | 2018-07-27 | 2018-08-27 | 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 | 2018-07-27 | 2018-08-27 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-07-27 | 2018-08-27 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-07-27 | 2018-08-27 | 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 | 2018-07-27 | 2018-08-27 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-07-27 | 2018-08-27 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-07-27 | 2018-08-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-27 | 2018-08-27 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-07-27 | 2018-08-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-27 | 2018-08-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-27 | 2018-08-27 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-07-27 | 2018-08-27 | N |
