A list of the most recent deficiencies for Rinaldi Convalescent Hospital. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-20 | 2023-08-09 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2023-06-07 | 2023-06-28 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-24 | 2023-05-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-18 | 2023-05-09 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-07 | 2023-04-06 | 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 | 2023-03-07 | 2023-04-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-07 | 2023-04-06 | 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 | 2023-03-07 | 2023-04-06 | N |
| Construct fire resistant interior walls. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2023-03-07 | 2023-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-03 | 2023-03-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-03-03 | 2023-03-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-03 | 2023-03-31 | 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 | 2023-03-03 | 2023-03-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-03 | 2023-03-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-03 | 2023-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-03 | 2023-03-31 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-03-03 | 2023-03-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-03 | 2023-03-31 | 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 | 2023-03-03 | 2023-03-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-03 | 2023-03-31 | 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 | 2023-03-03 | 2023-03-31 | 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 | 2023-03-03 | 2023-03-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-03-03 | 2023-03-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-03 | 2023-03-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-03 | 2023-03-31 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-03 | 2023-03-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-21 | 2023-03-16 | Y |
| Post nurse staffing information every day. | Health | 2022-08-29 | 2022-09-13 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-08 | 2022-07-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-06-26 | 2022-07-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-23 | 2022-06-29 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-20 | 2022-05-27 | Y |
| 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 | 2022-04-20 | 2022-05-27 | Y |
| 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 | 2022-03-17 | 2022-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-01 | 2022-03-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-21 | 2021-12-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-07 | 2021-10-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-10-07 | 2021-10-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-10-07 | 2021-10-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-27 | 2021-10-07 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-08-24 | 2021-09-03 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-08-24 | 2021-09-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-08-23 | 2021-09-03 | Y |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2021-08-23 | 2021-09-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-12 | 2021-08-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-14 | 2021-07-23 | Y |
| 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 | 2021-07-14 | 2021-07-23 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-07-13 | 2021-07-23 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-13 | 2021-07-23 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-07-08 | 2021-07-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-07-08 | 2021-07-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-03 | 2021-06-24 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-03 | 2021-06-24 | Y |
| Keep all essential equipment working safely. | Health | 2021-06-03 | 2021-06-24 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-03 | 2021-06-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-12 | 2021-05-28 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-08 | 2021-03-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-08 | 2021-03-18 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-07-28 | 2019-08-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-07-28 | 2019-08-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-28 | 2019-08-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-07-28 | 2019-08-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-28 | 2019-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-28 | 2019-08-26 | 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 | 2019-07-28 | 2019-08-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-28 | 2019-08-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-07-28 | 2019-08-26 | 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 | 2019-07-28 | 2019-08-26 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2019-07-28 | 2019-08-26 | N |
| Dispose of garbage and refuse properly. | Health | 2019-07-28 | 2019-08-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-28 | 2019-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-28 | 2019-08-26 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2019-07-28 | 2019-08-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-27 | 2019-08-26 | 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 | 2019-07-27 | 2019-08-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-27 | 2019-08-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-27 | 2019-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-27 | 2019-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-08-12 | 2018-09-10 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-08-12 | 2018-09-10 | 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 | 2018-08-12 | 2018-09-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-08-12 | 2018-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-08-12 | 2018-09-10 | 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 | 2018-08-12 | 2018-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-12 | 2018-09-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-08-12 | 2018-09-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-08-11 | 2018-09-10 | 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 | 2018-08-11 | 2018-09-10 | N |
| Have exits that are accessible at all times. | Fire Safety | 2018-08-11 | 2018-09-10 | 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 | 2018-08-11 | 2018-09-10 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Meet other general requirements. | Fire Safety | 2018-08-11 | 2018-09-10 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-03-03 | Not Fixed | N |
