Deficiency Records for New Castle Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for New Castle 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-11-08 | 2021-12-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-11-08 | 2021-12-01 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-09-23 | 2021-10-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-23 | 2021-10-22 | 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 | 2021-09-23 | 2021-10-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-09-23 | 2021-10-22 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-23 | 2021-10-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-23 | 2021-10-22 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-09-23 | 2021-10-22 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2021-09-23 | 2021-10-22 | 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 | 2021-09-23 | 2021-10-22 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-09-23 | 2021-10-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-23 | 2021-10-22 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-23 | 2021-10-22 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-09-23 | 2021-10-22 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-09-23 | 2021-10-22 | 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 | 2021-03-29 | 2021-04-16 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-03-29 | 2021-04-16 | Y |
| Provide or obtain dental services for each resident. | Health | 2021-03-29 | 2021-04-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-23 | 2019-09-12 | 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 | 2019-07-23 | 2019-09-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-23 | 2019-09-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-23 | 2019-09-12 | 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 | 2019-07-23 | 2019-09-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-23 | 2019-09-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-07-23 | 2019-09-12 | 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 | 2019-07-23 | 2019-09-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-07-23 | 2019-09-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-23 | 2019-09-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-23 | 2019-09-12 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-07-23 | 2019-09-12 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-07-23 | 2019-09-12 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2019-07-23 | 2019-09-12 | N |
| Provide or obtain dental services for each resident. | Health | 2019-07-23 | 2019-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-23 | 2019-09-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-07-23 | 2019-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-07-26 | 2019-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-26 | 2019-08-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-07-03 | 2018-08-21 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-07-03 | 2018-08-21 | 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 | 2018-07-03 | 2018-08-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-07-03 | 2018-08-21 | N |
| 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 | 2018-07-03 | 2018-08-21 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-07-03 | 2018-08-21 | 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 | 2018-07-03 | 2018-08-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide activities to meet all resident's needs. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-07-03 | 2018-08-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-07-03 | 2018-08-21 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-07-03 | 2018-08-21 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-07-03 | 2018-08-21 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-07-03 | 2018-08-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-03 | 2018-08-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-07-03 | 2018-08-21 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2018-07-03 | 2018-08-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-03 | 2018-08-21 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-07-03 | 2018-08-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-07-06 | 2018-07-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-07-06 | 2018-07-31 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-07-03 | 2018-07-03 | N |
