A list of the most recent deficiencies for Northgate 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 appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-14 | 2024-03-20 | Y |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2023-12-14 | 2024-03-20 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-09-29 | 2023-11-24 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-09-29 | 2023-11-14 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-29 | 2023-10-27 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2023-09-29 | 2023-10-27 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-09-29 | 2023-10-27 | Y |
| 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 | 2023-09-29 | 2023-10-27 | 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 | 2023-09-29 | 2023-10-27 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-09-29 | 2023-10-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-13 | 2023-07-20 | 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 | 2023-06-13 | 2023-07-20 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-25 | 2023-07-13 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2023-05-25 | 2023-07-13 | Y |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2022-03-14 | 2022-04-25 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-10 | 2022-02-28 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2021-12-10 | 2022-02-28 | 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 | 2021-09-24 | 2021-11-24 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2021-09-24 | 2021-11-24 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-09-24 | 2021-11-24 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-09-24 | 2021-11-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-09-24 | 2021-11-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-24 | 2021-11-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-09-24 | 2021-11-24 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2021-09-24 | 2021-11-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-09-24 | 2021-11-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-24 | 2021-11-24 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-09-24 | 2021-11-24 | N |
| Keep all essential equipment working safely. | Health | 2021-09-24 | 2021-11-24 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-06 | 2021-11-09 | Y |
| Provide emergency officials' contact information. | Fire Safety | 2021-09-29 | 2021-10-14 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-09-29 | 2021-10-14 | N |
| Use approved construction type or materials. | Fire Safety | 2021-09-29 | 2021-10-14 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-09-29 | 2021-10-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-29 | 2021-10-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-09-29 | 2021-10-14 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-03 | 2020-10-13 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-02-03 | 2020-10-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-02-03 | 2020-10-13 | N |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-02-03 | 2020-10-13 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-03 | 2020-10-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-02-03 | 2020-10-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-03 | 2020-10-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-03 | 2020-10-13 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-02-03 | 2020-10-13 | 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 | 2020-02-03 | 2020-10-13 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2020-02-03 | 2020-10-13 | 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 | 2020-02-03 | 2020-10-13 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-02-03 | 2020-10-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-03 | 2020-10-13 | N |
| Dispose of garbage and refuse properly. | Health | 2020-02-03 | 2020-10-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-02-03 | 2020-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-03 | 2020-10-13 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2020-02-19 | 2020-03-25 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-20 | 2019-05-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Use approved construction type or materials. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-03 | 2019-04-23 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2018-12-20 | 2019-03-14 | 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 | 2018-12-20 | 2019-03-14 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-20 | 2019-03-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-12-20 | 2019-03-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-20 | 2019-03-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-12-20 | 2019-03-14 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-20 | 2019-03-14 | 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 | 2018-12-20 | 2019-03-14 | N |
| Provide or obtain dental services for each resident. | Health | 2018-12-20 | 2019-03-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-20 | 2019-03-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-20 | 2019-03-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-20 | 2019-03-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-12-20 | 2019-03-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-12-20 | 2019-03-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-20 | 2019-03-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-20 | 2019-03-14 | N |
