Deficiency Records for Guardian Rehabilitation Hospital

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Updated as of April 01, 2024

A list of the most recent deficiencies for Guardian Rehabilitation 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?
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2024-02-22 2024-03-20 Y
Ensure that residents are free from significant medication errors. Health 2024-02-22 2024-03-20 Y
Provide emergency officials' contact information. Fire Safety 2024-02-15 2024-03-15 N
Construct fire resistant interior walls. Fire Safety 2024-02-15 2024-03-15 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2024-02-15 2024-03-15 N
Have proper medical gas storage and administration areas. Fire Safety 2024-02-15 2024-03-15 N
Reasonably accommodate the needs and preferences of each resident. Health 2024-02-11 2024-03-08 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 2024-02-11 2024-03-08 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2024-02-11 2024-03-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2024-02-11 2024-03-08 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2024-02-11 2024-03-08 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2024-02-11 2024-03-08 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 2024-02-11 2024-03-08 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2024-02-11 2024-03-08 N
Provide safe, appropriate dialysis care/services for a resident who requires such services. Health 2024-02-11 2024-03-08 N
Post nurse staffing information every day. Health 2024-02-11 2024-03-08 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2024-02-11 2024-03-08 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2024-02-11 2024-03-08 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2024-02-11 2024-03-08 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2023-11-07 2023-12-07 Y
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Health 2023-11-01 2023-11-30 Y
Provide and implement an infection prevention and control program. Health 2023-08-30 2023-09-30 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-12-02 2023-01-17 Y
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-05-31 2022-06-10 Y
Notify 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 2022-05-31 2022-06-10 Y
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2022-05-31 2022-06-10 Y
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2022-04-06 2022-05-27 Y
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2021-10-22 2022-05-13 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 2021-10-22 2021-11-17 N
Construct fire resistant interior walls. Fire Safety 2021-10-22 2021-11-17 N
Install an approved automatic sprinkler system. Fire Safety 2021-10-22 2021-11-17 N
Install corridor and hallway doors that block smoke. Fire Safety 2021-10-22 2021-11-17 N
Ensure proper usage of power strips and extension cords. Fire Safety 2021-10-22 2021-11-17 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2021-10-22 2021-11-16 N
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-10-22 2021-11-16 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2021-10-22 2021-11-16 N
Provide enough food/fluids to maintain a resident's health. Health 2021-10-22 2021-11-16 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 2021-10-22 2021-11-16 N
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. Health 2021-10-22 2021-11-16 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2021-10-22 2021-11-16 N
Provide and implement an infection prevention and control program. Health 2021-10-22 2021-11-16 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 2019-08-25 2019-09-19 N
Protect each resident from the wrongful use of the resident's belongings or money. Health 2019-08-25 2019-09-19 N
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. Health 2019-08-25 2019-09-19 N
Notify 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 2019-08-25 2019-09-19 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2019-08-25 2019-09-19 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 2019-08-25 2019-09-19 N
Ensure medication error rates are not 5 percent or greater. Health 2019-08-25 2019-09-19 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 2019-08-25 2019-09-19 N
Provide or obtain dental services for each resident. Health 2019-08-25 2019-09-19 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2019-08-25 2019-09-19 N
Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. Health 2019-08-25 2019-09-19 N
Conduct testing and exercise requirements. Fire Safety 2019-08-24 2019-09-19 N
Install corridor and hallway doors that block smoke. Fire Safety 2019-08-24 2019-09-19 N