A list of the most recent deficiencies for Northvine Postacute Care. 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 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 | 2023-12-14 | 2024-01-22 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-06-09 | 2023-09-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-09 | 2023-08-22 | 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 | 2023-06-09 | 2023-08-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-06-09 | 2023-08-22 | 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 | 2023-06-09 | 2023-08-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-08-22 | N |
| Keep all essential equipment working safely. | Health | 2023-06-09 | 2023-08-22 | 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 | 2023-06-09 | 2023-07-21 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-09 | 2023-07-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-06-09 | 2023-07-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-09 | 2023-07-21 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-09 | 2023-07-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-09 | 2023-07-21 | 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 | 2023-06-09 | 2023-07-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-09 | 2023-07-21 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-06-09 | 2023-07-21 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-06-09 | 2023-07-21 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-09 | 2023-07-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-09 | 2023-07-21 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2023-06-09 | 2023-07-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-09 | 2023-07-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-09 | 2023-07-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-06-09 | 2023-07-21 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2023-06-09 | 2023-07-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-09 | 2023-07-21 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-06-09 | 2023-07-21 | Y |
| 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 | 2023-06-09 | 2023-07-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-06 | 2023-07-13 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-06-21 | 2023-07-12 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-05-02 | 2023-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-02 | 2023-06-24 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-05-02 | 2023-06-24 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-05-02 | 2023-06-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-05-02 | 2023-06-24 | N |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2023-05-02 | 2023-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-08 | 2023-05-24 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-02-14 | 2022-05-03 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-02-14 | 2022-05-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-02-14 | 2022-05-03 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-02-14 | 2022-05-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-02-14 | 2022-05-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-02-14 | 2022-05-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-02-14 | 2022-05-03 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-02-14 | 2022-05-03 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-02-14 | 2022-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-14 | 2022-05-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-02-14 | 2022-05-03 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-02-14 | 2022-05-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-14 | 2022-05-03 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-14 | 2022-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-14 | 2022-05-03 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-02-14 | 2022-05-03 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2022-03-02 | 2022-04-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-03-02 | 2022-04-15 | N |
| Use approved construction type or materials. | Fire Safety | 2022-03-02 | 2022-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-02 | 2022-04-15 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-03-02 | 2022-04-15 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-01-21 | 2022-02-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-17 | 2022-02-22 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-01-13 | 2022-02-16 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-01-11 | 2022-02-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-01 | 2021-10-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-09-01 | 2021-10-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-30 | 2019-08-26 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-30 | 2019-08-26 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-07-30 | 2019-08-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-30 | 2019-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-30 | 2019-08-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-30 | 2019-08-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-10 | 2019-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-10 | 2019-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-10 | 2019-07-26 | 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 | 2019-06-10 | 2019-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-10 | 2019-07-26 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-06-10 | 2019-07-26 | N |
