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Deficiency Records for Leisure Glen Post Acute Care Center
View the most recent health deficiencies and inspection results for Leisure Glen Post Acute Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Leisure Glen Post Acute Care Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-06-27 | 2025-07-23 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-27 | 2025-07-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-27 | 2025-07-22 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-27 | 2025-07-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-27 | 2025-07-01 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-06-27 | 2025-07-01 | 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 | 2025-06-27 | 2025-07-01 | 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 | 2025-06-27 | 2025-07-01 | 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 | 2025-06-27 | 2025-06-30 | N |
| Post nurse staffing information every day. | Health | 2025-06-27 | 2025-06-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-27 | 2025-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-27 | 2025-06-26 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-13 | 2024-07-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-13 | 2024-07-08 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-06-13 | 2024-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-06-13 | 2024-07-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-06-13 | 2024-07-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-13 | 2024-07-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-13 | 2024-07-08 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-06-13 | 2024-07-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-13 | 2024-07-08 | 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 | 2024-06-13 | 2024-07-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-04-19 | 2024-05-17 | Y |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2024-02-02 | 2024-02-16 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-18 | 2024-02-02 | Y |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2021-11-18 | 2021-12-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-18 | 2021-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-18 | 2021-12-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-11-18 | 2021-12-14 | 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 | 2021-11-18 | 2021-12-14 | 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 | 2021-11-18 | 2021-12-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-18 | 2021-12-14 | 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 | 2021-11-18 | 2021-12-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-18 | 2021-12-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2021-11-18 | 2021-12-14 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-11-18 | 2021-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-18 | 2021-12-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-11-18 | 2021-12-14 | 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 | 2021-11-18 | 2021-12-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-18 | 2021-12-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-11-18 | 2021-12-14 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-11-18 | 2021-12-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-11-18 | 2021-12-14 | N |