Deficiency Records for Primrose Post-Acute
Updated as of March 01, 2017
This is not the most recent data for Primrose Post-Acute. For the most recent information, click here.
A list of the most recent deficiencies for Primrose Post-Acute. 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 a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-12-24 | 2016-01-22 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-12-24 | 2016-01-22 | 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 | 2015-12-24 | 2016-01-22 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-12-24 | 2016-01-22 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-12-24 | 2016-01-22 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2015-12-24 | 2016-01-22 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-12-24 | 2016-01-22 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-12-24 | 2016-01-22 | N |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2014-12-16 | 2015-02-28 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2014-10-21 | 2015-02-06 | N |
| Permit residents to remain in the facility and not be transferred or discharged without adequate reason. | Health | 2014-10-21 | 2015-02-06 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2014-10-21 | 2015-02-06 | N |
| Tell 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 | 2014-10-21 | 2015-02-06 | N |
| Provide housekeeping and maintenance services. | Health | 2014-10-21 | 2015-02-06 | N |
| Provide adequate and comfortable lighting levels in all areas. | Health | 2014-10-21 | 2015-02-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2014-10-21 | 2015-02-06 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2014-10-21 | 2015-02-06 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-10-21 | 2015-02-06 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2014-10-21 | 2015-02-06 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2014-10-21 | 2015-02-06 | 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 | 2014-10-21 | 2015-02-06 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2014-10-21 | 2015-02-06 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2014-10-21 | 2015-02-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2014-10-21 | 2015-02-06 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2014-10-21 | 2015-02-06 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2014-10-21 | 2015-02-06 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2014-10-21 | 2015-02-06 | N |
| 1) Provide 3 meals at regular times; 2) serve breakfast within 14 hours of dinner; and 3) offer a snack at bedtime each day. | Health | 2014-10-21 | 2015-02-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2014-10-21 | 2015-02-06 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2014-10-21 | 2015-02-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2014-10-21 | 2015-02-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-10-21 | 2015-02-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2014-10-21 | 2015-02-06 | N |
| Keep complete, dated laboratory records in the resident's file. | Health | 2014-10-21 | 2015-02-06 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2014-10-21 | 2015-02-06 | N |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2015-01-29 | 2015-02-06 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2015-01-29 | 2015-02-06 | Y |
| Tell 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 | 2015-01-26 | 2015-02-03 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-01-26 | 2015-02-03 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2014-04-10 | 2014-04-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2014-04-10 | 2014-04-21 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2014-04-10 | 2014-04-21 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2014-04-10 | 2014-04-21 | Y |
| Provide housekeeping and maintenance services. | Health | 2014-04-10 | 2014-04-21 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2014-04-10 | 2014-04-21 | Y |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2014-04-10 | 2014-04-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2014-04-10 | 2014-04-21 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2014-04-10 | 2014-04-21 | Y |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2014-04-10 | 2014-04-21 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2013-06-24 | 2013-08-02 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2013-06-24 | 2013-08-01 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2013-06-24 | 2013-08-01 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2013-06-24 | 2013-08-01 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2013-06-24 | 2013-08-01 | N |
| Make sure that special or therapeutic diets are ordered by the attending doctor. | Health | 2013-06-24 | 2013-08-01 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2013-06-24 | 2013-08-01 | N |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2013-06-24 | 2013-08-01 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2013-06-24 | 2013-08-01 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2013-06-24 | 2013-08-01 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2015-12-24 | Not Fixed | N |
