CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Primrose Post-Acute
View the most recent health deficiencies and inspection results for Primrose Post-Acute. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Primrose Post-Acute. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2026-02-11 | 2026-03-05 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2026-02-11 | 2026-03-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2026-02-11 | 2026-03-05 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2026-02-11 | 2026-03-05 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2026-02-11 | 2026-03-05 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2025-09-03 | 2025-09-19 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-23 | 2025-06-15 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-05-23 | 2025-06-15 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-05-23 | 2025-06-15 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-23 | 2025-06-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-05-23 | 2025-06-15 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-05-23 | 2025-06-15 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-05-23 | 2025-06-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-23 | 2025-06-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-05-23 | 2025-06-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-23 | 2025-06-15 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-05-23 | 2025-06-15 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2025-05-23 | 2025-06-15 | N |
| Respond appropriately to all alleged violations. | Health | 2025-05-23 | 2025-06-15 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-05-23 | 2025-06-15 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-05-23 | 2025-06-15 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-05-23 | 2025-06-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-23 | 2025-06-15 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-05-23 | 2025-06-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-05-23 | 2025-06-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-12-11 | 2025-01-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-31 | 2024-11-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-04 | 2024-11-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-10-08 | 2024-11-07 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-05-10 | 2024-06-07 | N |
| Provide emergency officials' contact information. | Fire Safety | 2024-05-10 | 2024-06-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-05-10 | 2024-06-07 | 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 | 2024-05-10 | 2024-06-07 | 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 | 2024-05-10 | 2024-06-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-10 | 2024-06-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-05-10 | 2024-06-07 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2024-05-10 | 2024-06-07 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-05-10 | 2024-06-03 | 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 | 2024-05-10 | 2024-06-03 | N |
| Dispose of garbage and refuse properly. | Health | 2024-05-10 | 2024-06-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-10 | 2024-06-03 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2024-05-10 | 2024-06-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-10 | 2024-06-03 | 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 | 2024-05-10 | 2024-06-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-05-10 | 2024-06-03 | N |
| 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 | 2024-05-10 | 2024-06-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-10 | 2024-06-03 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-05-10 | 2024-06-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-05-10 | 2024-06-03 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-05-10 | 2024-06-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-05-10 | 2024-06-03 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-10 | 2024-06-03 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-05-10 | 2024-06-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-20 | 2024-04-19 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-11 | 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 | 2024-01-11 | 2024-02-11 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-11 | 2024-02-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-10-26 | 2023-11-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-06 | 2023-09-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-06-28 | 2023-07-31 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-28 | 2023-07-31 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2022-02-11 | 2022-03-16 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-02-11 | 2022-03-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-02-11 | 2022-03-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-11 | 2022-03-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-02-11 | 2022-03-16 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-02-11 | 2022-03-16 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-02-11 | 2022-03-16 | 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 | 2022-02-11 | 2022-03-16 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-11 | 2022-03-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-02-11 | 2022-03-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2022-02-11 | 2022-03-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-02-11 | 2022-03-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-11 | 2022-03-16 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-02-11 | 2022-03-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-11 | 2022-03-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-02-11 | 2022-03-16 | 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 | 2022-02-11 | 2022-03-16 | 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 | 2022-02-11 | 2022-03-16 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-02-11 | 2022-03-16 | 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 | 2022-02-11 | 2022-03-16 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-02-11 | 2022-03-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-11 | 2022-03-16 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-02-11 | 2022-03-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-02-11 | 2022-03-15 | N |