Deficiency Records for Hewitt Health and Rehabilitation Center, Inc
Updated as of April 01, 2024
A list of the most recent deficiencies for Hewitt Health and Rehabilitation Center, Inc. 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 enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-09-25 | 2023-11-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-25 | 2023-11-06 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-25 | 2023-11-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-25 | 2023-11-06 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-25 | 2023-11-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-09-25 | 2023-11-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-09-25 | 2023-11-06 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2023-06-29 | 2023-08-13 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-29 | 2023-08-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-29 | 2023-08-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-24 | 2023-03-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-01-24 | 2023-03-07 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-24 | 2023-03-07 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-01-24 | 2023-03-07 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-01-24 | 2023-03-07 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-24 | 2023-03-07 | 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 | 2023-01-24 | 2023-03-07 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-24 | 2023-03-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-24 | 2023-03-07 | 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 | 2023-01-24 | 2023-03-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-24 | 2023-03-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-24 | 2023-03-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-24 | 2023-03-07 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-24 | 2023-03-07 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-01-24 | 2023-03-07 | 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 | 2023-01-24 | 2023-03-07 | 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 | 2023-01-24 | 2023-03-07 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2023-01-24 | 2023-03-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-24 | 2023-03-07 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-01-24 | 2023-03-07 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-01-24 | 2023-03-07 | 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 | 2023-01-24 | 2023-03-07 | Y |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2023-01-09 | 2023-02-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-09 | 2023-02-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-09 | 2023-02-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-09 | 2023-02-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-21 | 2020-04-02 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-21 | 2020-04-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-21 | 2020-04-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-21 | 2020-04-02 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-02-21 | 2020-04-02 | 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 | 2020-02-21 | 2020-04-02 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-02-21 | 2020-04-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-02-21 | 2020-04-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-21 | 2020-04-02 | 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 | 2020-02-21 | 2020-04-02 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-02-19 | 2020-03-06 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-01-02 | 2019-03-29 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-01-02 | 2019-03-29 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-01-02 | 2019-03-29 | N |
| Establish methods for sharing information. | Fire Safety | 2019-01-02 | 2019-02-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-01-02 | 2019-02-26 | 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 | 2019-01-02 | 2019-02-26 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-01-02 | 2019-02-26 | N |
| Meet requirements for the installation and maintenance of medical gas and medical vacuum systems. | Fire Safety | 2019-01-02 | 2019-02-26 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2019-01-02 | 2019-02-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-08 | 2019-02-19 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-01-08 | 2019-02-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-01-08 | 2019-02-19 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-01-08 | 2019-02-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-08 | 2019-02-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-01-08 | 2019-02-19 | 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 | 2019-01-08 | 2019-02-19 | 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 | 2019-01-08 | 2019-02-19 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-01-08 | 2019-02-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-01-08 | 2019-02-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-01-08 | 2019-02-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-08 | 2019-02-19 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-08 | 2019-02-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-01-08 | 2019-02-06 | N |
