A list of the most recent deficiencies for The Rowland. 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2023-09-05 | 2023-09-06 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-02-28 | 2023-03-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-11-29 | 2022-12-19 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-27 | 2022-05-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-11-05 | 2022-03-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-11-05 | 2022-01-04 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-10-19 | 2021-12-27 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-08-23 | 2021-08-30 | Y |
| 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 | 2021-06-11 | 2021-07-23 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-06-11 | 2021-07-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide activities to meet all resident's needs. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-11 | 2021-07-23 | 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 | 2021-06-11 | 2021-07-23 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-06-11 | 2021-07-23 | 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 | 2021-06-11 | 2021-07-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-11 | 2021-07-23 | 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 | 2021-06-11 | 2021-07-23 | 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 | 2021-06-11 | 2021-07-23 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-06-11 | 2021-07-23 | 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 | 2021-06-11 | 2021-07-23 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-06-11 | 2021-07-23 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-06-11 | 2021-07-23 | N |
| 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 | 2021-06-11 | 2021-07-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-11 | 2021-07-23 | N |
| Dispose of garbage and refuse properly. | Health | 2021-06-11 | 2021-07-23 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-06-11 | 2021-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-11 | 2021-07-23 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2021-06-11 | 2021-07-23 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-16 | 2021-07-22 | 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 | 2021-06-16 | 2021-07-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-06-16 | 2021-07-22 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-06-16 | 2021-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-16 | 2021-07-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-16 | 2021-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-16 | 2021-07-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-06-16 | 2021-07-22 | 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 | 2019-04-01 | 2019-05-14 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-01 | 2019-05-14 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-04-01 | 2019-05-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-01 | 2019-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-01 | 2019-05-14 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-04-01 | 2019-05-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-01 | 2019-05-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-01 | 2019-05-14 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-01 | 2019-05-14 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2019-04-01 | 2019-05-14 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-04-01 | 2019-05-14 | 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 | 2019-04-01 | 2019-05-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-01 | 2019-05-14 | 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 | 2019-04-01 | 2019-05-14 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-04-01 | 2019-05-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-01 | 2019-05-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-01 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-01 | 2019-05-14 | N |
| Keep all essential equipment working safely. | Health | 2019-04-01 | 2019-05-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-03-27 | 2019-04-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-03-27 | 2019-04-29 | 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 | 2019-03-27 | 2019-04-29 | N |
| Construct fire resistant interior walls. | Fire Safety | 2019-03-27 | 2019-04-29 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2019-03-27 | 2019-04-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-27 | 2019-04-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-03-27 | 2019-04-29 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-27 | 2019-04-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Develop a communication plan. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-04-10 | 2018-06-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-04-10 | 2018-06-12 | 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 | 2018-03-23 | 2018-05-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-03-23 | 2018-05-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-03-23 | 2018-05-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-03-23 | 2018-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-03-23 | 2018-05-15 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-03-23 | 2018-05-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-03-23 | 2018-05-15 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2018-03-23 | 2018-05-15 | N |
| Post nurse staffing information every day. | Health | 2018-03-23 | 2018-05-15 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-03-23 | 2018-05-15 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-03-23 | 2018-05-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-03-23 | 2018-05-15 | 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 | 2018-03-23 | 2018-05-15 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-03-23 | 2018-05-15 | 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 | 2018-03-23 | 2018-05-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-03-23 | 2018-05-15 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2018-03-23 | 2018-05-15 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2018-03-23 | 2018-05-15 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2018-03-23 | 2018-05-15 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-03-23 | 2018-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-03-23 | 2018-05-15 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-03-23 | 2018-05-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-03-23 | 2018-05-15 | N |
