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Deficiency Records for Gladstone Sub-Acute and Rehab Center
View the most recent health deficiencies and inspection results for Gladstone Sub-Acute and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Gladstone Sub-Acute and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2026-03-13 | 2026-04-07 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2025-12-12 | 2026-01-08 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-12-12 | 2026-01-08 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-09-16 | 2025-09-25 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-16 | 2025-08-15 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-06-27 | 2025-07-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-27 | 2025-07-22 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-27 | 2025-07-22 | 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 | 2025-07-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-06-27 | 2025-07-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-27 | 2025-07-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-27 | 2025-07-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-06-27 | 2025-07-21 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-06-27 | 2025-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-06-27 | 2025-07-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-27 | 2025-07-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-27 | 2025-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-06-27 | 2025-07-21 | 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 | 2025-06-27 | 2025-07-21 | 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 | 2025-06-27 | 2025-07-21 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-06-27 | 2025-07-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-06-27 | 2025-07-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2025-06-27 | 2025-07-18 | 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 | 2025-06-27 | 2025-07-18 | N |
| Implement emergency and standby power systems. | Fire Safety | 2025-06-27 | 2025-07-18 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2025-06-27 | 2025-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-06-27 | 2025-07-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-27 | 2025-07-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-27 | 2025-07-17 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-06-27 | 2025-07-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-27 | 2025-07-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-06-04 | 2025-07-03 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-22 | 2025-07-02 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2025-05-22 | 2025-07-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-22 | 2025-07-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-05-22 | 2025-07-01 | Y |
| 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 | 2025-06-27 | 2025-06-30 | 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 | 2025-05-22 | 2025-06-30 | Y |
| Provide a neutral and fair arbitration process and agree to arbitrator and venue. | Health | 2025-06-27 | 2025-06-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-27 | 2025-06-26 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2025-06-27 | 2025-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-27 | 2025-06-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-05-05 | 2025-06-20 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-04 | 2025-06-17 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2025-05-22 | 2025-06-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-05-05 | 2025-06-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-04 | 2025-06-05 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-05-22 | 2025-06-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-05-05 | 2025-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-18 | 2025-05-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-04-18 | 2025-05-07 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-04-04 | 2025-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-01-31 | 2025-02-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-31 | 2025-02-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-01-10 | 2025-02-05 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2025-01-31 | 2025-01-31 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-12-02 | 2024-12-23 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-02 | 2024-12-23 | 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 | 2024-11-15 | 2024-12-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-13 | 2024-11-15 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-05 | 2024-09-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-05 | 2024-09-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-13 | 2024-07-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-06-13 | 2024-07-09 | 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 | 2024-07-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-06-13 | 2024-07-09 | 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 | 2024-07-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-06-13 | 2024-07-09 | 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 | 2024-06-13 | 2024-07-09 | 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 | 2024-06-13 | 2024-07-09 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-06-13 | 2024-07-08 | 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 | 2024-06-13 | 2024-07-08 | N |
| Install an approved automatic sprinkler system. | 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 generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-06-13 | 2024-07-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-17 | 2024-02-15 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-12-21 | 2024-01-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-21 | 2024-01-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-03 | 2023-12-03 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2023-11-03 | 2023-12-03 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-10-04 | 2023-10-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-09 | 2023-08-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-25 | 2023-08-16 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-13 | 2022-01-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-12-13 | 2022-01-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-12-13 | 2022-01-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-12-13 | 2022-01-25 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-12-13 | 2022-01-25 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-12-13 | 2022-01-25 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-12-13 | 2022-01-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-13 | 2022-01-25 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-13 | 2022-01-25 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-13 | 2022-01-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-13 | 2022-01-25 | 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 | 2021-12-13 | 2022-01-25 | N |
| Provide activities to meet all resident's needs. | Health | 2021-12-13 | 2022-01-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-12-13 | 2022-01-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-13 | 2022-01-14 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-12-13 | 2022-01-14 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-12-13 | 2022-01-14 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-12-13 | 2022-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-13 | 2022-01-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-13 | 2022-01-14 | N |
| Ensure that sources of ignition are removed from patients receiving respiratory therapy. | Fire Safety | 2021-12-13 | 2022-01-14 | N |