Deficiency Records for Poudre Canyon Health and Rehabilitation Center
Updated as of February 01, 2021
This is not the most recent data for Poudre Canyon Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Poudre Canyon Health and Rehabilitation Center. 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 | 2020-12-17 | 2021-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-11 | 2020-09-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-05-16 | 2019-06-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-16 | 2019-06-21 | 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 | 2019-05-16 | 2019-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-16 | 2019-06-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-16 | 2019-06-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-16 | 2019-06-21 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-05-16 | 2019-06-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2019-02-07 | 2019-03-13 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-02-07 | 2019-03-12 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2019-02-07 | 2019-03-12 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-02-07 | 2019-03-12 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-02-07 | 2019-03-12 | 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 | 2019-02-07 | 2019-03-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-07 | 2019-03-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-02-07 | 2019-03-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-02-07 | 2019-03-12 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-02-07 | 2019-03-12 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-02-07 | 2019-03-12 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-05 | 2019-01-23 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2018-12-05 | 2019-01-09 | Y |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-01-11 | 2018-02-22 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-01-11 | 2018-02-22 | 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 | 2018-01-11 | 2018-02-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-01-11 | 2018-02-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-11 | 2018-02-16 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2018-01-11 | 2018-02-15 | 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 | 2018-01-11 | 2018-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-11 | 2018-02-14 | 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 | 2018-01-11 | 2018-02-14 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-01-11 | 2018-02-14 | N |
| 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 | 2018-01-11 | 2018-02-14 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-01-11 | 2018-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-11 | 2018-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-01-11 | 2018-02-14 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-08-12 | 2016-09-29 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-08-12 | 2016-09-28 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-12 | 2016-09-28 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-08-12 | 2016-09-20 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-08-12 | 2016-09-20 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-08-12 | 2016-09-20 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2016-08-12 | 2016-09-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-08-12 | 2016-09-20 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-08-12 | 2016-09-20 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-12 | 2016-09-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-08-12 | 2016-09-20 | N |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2016-08-12 | 2016-09-20 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-12 | 2016-09-20 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-08-12 | 2016-09-20 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-08-12 | 2016-09-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-08-12 | 2016-09-20 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-08-12 | 2016-09-20 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-08-12 | 2016-09-20 | N |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2016-08-12 | 2016-09-20 | N |
| Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. | Health | 2016-08-12 | 2016-09-20 | N |
