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Deficiency Records for Pelican Pointe Health and Rehabilitation Center
View the most recent health deficiencies and inspection results for Pelican Pointe Health and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Pelican Pointe Health and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2026-01-15 | 2027-02-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2026-01-15 | 2027-02-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2026-01-15 | 2027-02-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2026-01-15 | 2026-08-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2026-01-15 | 2026-04-20 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2026-01-15 | 2026-03-27 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2026-01-15 | 2026-03-11 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2026-01-15 | 2026-03-10 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2026-01-15 | 2026-03-09 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2026-01-15 | 2026-03-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2026-01-15 | 2026-03-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2026-01-15 | 2026-02-25 | N |
| Implement a program that monitors antibiotic use. | Health | 2026-01-15 | 2026-02-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2026-01-15 | 2026-02-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2026-01-15 | 2026-02-07 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-15 | 2026-02-07 | 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 | 2026-01-15 | 2026-02-07 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2026-01-15 | 2026-02-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-07-15 | 2025-08-08 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2025-07-15 | 2025-08-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-07-15 | 2025-08-08 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2025-02-04 | 2025-02-19 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-10 | 2024-06-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-06-10 | 2024-06-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-06-10 | 2024-06-11 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-11 | 2024-01-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-11 | 2024-01-12 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-11 | 2023-12-29 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2023-12-11 | 2023-12-29 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2023-12-11 | 2023-12-29 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-12-11 | 2023-12-29 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-11 | 2023-12-29 | N |
| Keep all essential equipment working safely. | Health | 2023-12-11 | 2023-12-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-12-11 | 2023-12-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-11 | 2023-12-29 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2023-12-11 | 2023-12-29 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-12-11 | 2023-12-29 | 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 | 2023-12-11 | 2023-12-29 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-11 | 2023-12-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-12-11 | 2023-12-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-12-11 | 2023-12-29 | N |
| Develop a communication plan. | Fire Safety | 2023-12-11 | 2023-12-29 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-12-11 | 2023-12-29 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-11 | 2023-12-29 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-11 | 2023-12-29 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-12-11 | 2023-12-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-12-11 | 2023-12-29 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-12-11 | 2023-12-29 | 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 | 2023-08-07 | 2023-08-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-07 | 2023-08-08 | 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 | 2022-08-25 | 2022-09-28 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-08-25 | 2022-09-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-25 | 2022-09-28 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-25 | 2022-09-28 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-25 | 2022-09-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-25 | 2022-09-28 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-08-25 | 2022-09-28 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2022-08-25 | 2022-09-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-08-25 | Not Fixed | N |