Deficiency Records for Primrose Post-Acute
Updated as of March 01, 2019
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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-05-21 | 2018-06-06 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-01-22 | 2018-03-06 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-01-22 | 2018-03-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-01-22 | 2018-03-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-22 | 2018-03-06 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-22 | 2018-03-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-22 | 2018-03-06 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2018-01-22 | 2018-03-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-01-25 | 2018-02-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-01-25 | 2018-02-28 | 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 | 2018-01-25 | 2018-02-07 | Y |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-10-06 | 2017-11-28 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-10-06 | 2017-11-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-10-06 | 2017-11-28 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-04 | 2017-05-05 | Y |
| 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 | 2017-04-04 | 2017-05-05 | Y |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2017-01-17 | 2017-02-22 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2017-01-17 | 2017-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-17 | 2017-02-22 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2016-12-29 | 2017-02-13 | Y |
| 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 | 2016-12-29 | 2017-02-13 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-01-11 | 2017-02-03 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-01-11 | 2017-02-03 | N |
| Maintain comfortable sound levels. | Health | 2017-01-11 | 2017-02-03 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-11 | 2017-02-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-01-11 | 2017-02-03 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-01-11 | 2017-02-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-11 | 2017-02-03 | 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 | 2017-01-11 | 2017-02-03 | 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 | 2017-01-11 | 2017-02-03 | 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 | 2017-01-11 | 2017-02-03 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-11 | 2017-02-03 | 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 | 2017-01-11 | 2017-02-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-11 | 2017-02-03 | 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 | 2017-01-11 | 2017-02-03 | 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 | 2017-01-11 | 2017-02-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-01-11 | 2017-02-03 | N |
| Keep all essential equipment working safely. | Health | 2017-01-11 | 2017-02-03 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2017-01-11 | 2017-02-03 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-11 | 2017-02-03 | N |
| 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 |
| 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 | 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 |
