Deficiency Records for Paonia Care and Rehabilitation Center
Updated as of May 01, 2024
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Deficiency Records for Paonia Care and Rehabilitation Center
A list of the most recent deficiencies for Paonia Care and Rehabilitation Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Paonia Care 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-03-20 | 2024-05-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-03-20 | 2024-05-04 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-01 | 2024-03-30 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-03-20 | 2024-03-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-03-20 | 2024-03-30 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-03-01 | 2024-03-28 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-03-01 | 2024-03-28 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-03-01 | 2024-03-28 | N |
| The resident has the right to receive notices in a format and a language he or she understands. | Health | 2024-03-01 | 2024-03-28 | 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 | 2024-03-01 | 2024-03-28 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-03-01 | 2024-03-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-03-01 | 2024-03-28 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-03-01 | 2024-03-28 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2024-03-01 | 2024-03-28 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2024-03-01 | 2024-03-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-03-01 | 2024-03-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-01 | 2024-03-28 | 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 | 2024-03-01 | 2024-03-28 | 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 | 2024-03-01 | 2024-03-28 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2024-03-01 | 2024-03-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-01 | 2024-03-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-03-01 | 2024-03-28 | N |
| Provide activities to meet all resident's needs. | Health | 2024-03-01 | 2024-03-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-01 | 2024-03-28 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-03-01 | 2024-03-28 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-03-01 | 2024-03-28 | Y |
| List the names and contact information of those in the facility. | Fire Safety | 2024-03-01 | 2024-03-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-03-01 | 2024-03-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2023-01-31 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-11-03 | 2023-01-31 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-03 | 2022-12-13 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-11-03 | 2022-12-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-11-03 | 2022-12-13 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-03 | 2022-12-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-03 | 2022-12-13 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-11-03 | 2022-12-13 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-03 | 2022-12-13 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-16 | 2022-12-09 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-06-15 | 2022-07-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-15 | 2022-07-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-06-15 | 2022-07-14 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-06-15 | 2022-07-14 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-06-15 | 2022-07-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-06-15 | 2022-07-14 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-06-15 | 2022-07-14 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-03-09 | 2022-03-28 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-12 | 2021-09-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-08-12 | 2021-09-10 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-08-12 | 2021-09-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-12 | 2021-09-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-12 | 2021-08-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-07-29 | 2021-08-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-07-29 | 2021-08-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-29 | 2021-08-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-29 | 2021-08-20 | N |
| Respond appropriately to all alleged violations. | Health | 2021-07-29 | 2021-08-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-07-29 | 2021-08-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-29 | 2021-08-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-29 | 2021-08-20 | 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 | 2021-07-29 | 2021-08-20 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-07-29 | 2021-08-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-07-29 | 2021-08-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-29 | 2021-08-18 | N |
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