A list of the most recent deficiencies for Cadia Rehabilitation Pike Creek. 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? |
---|---|---|---|---|
Reasonably accommodate the needs and preferences of each resident. | Health | 2023-02-23 | 2023-03-24 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-02-23 | 2023-03-24 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-23 | 2023-03-24 | 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 | 2023-02-23 | 2023-03-24 | 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 | 2023-02-23 | 2023-03-24 | 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 | 2023-02-23 | 2023-03-24 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-02-23 | 2023-03-24 | N |
Provide and implement an infection prevention and control program. | Health | 2023-02-23 | 2023-03-24 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2019-09-04 | 2019-11-11 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-09-04 | 2019-11-11 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-04 | 2019-11-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-09-04 | 2019-11-11 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-09-04 | 2019-11-11 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-04 | 2019-11-11 | 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 | 2019-09-04 | 2019-11-11 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-04 | 2019-11-11 | 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 | 2019-09-04 | 2019-11-11 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2019-09-04 | 2019-11-11 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-09-04 | 2019-11-11 | 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 | 2019-09-04 | 2019-11-11 | 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 | 2019-09-04 | 2019-11-11 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-04 | 2019-11-11 | N |
Ensure that residents are free from significant medication errors. | Health | 2019-09-04 | 2019-11-11 | 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 | 2019-09-04 | 2019-11-11 | N |
Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2019-09-04 | 2019-11-11 | N |
Provide or obtain dental services for each resident. | Health | 2019-09-04 | 2019-11-11 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-04 | 2019-11-11 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-09-04 | 2019-11-11 | N |
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-09-04 | 2019-11-11 | N |
Provide and implement an infection prevention and control program. | Health | 2019-09-04 | 2019-11-11 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-28 | 2018-12-28 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2018-09-28 | 2018-12-28 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-09-28 | 2018-12-28 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-09-28 | 2018-12-28 | N |
Respond appropriately to all alleged violations. | Health | 2018-09-28 | 2018-12-28 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-09-28 | 2018-12-28 | 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 | 2018-09-28 | 2018-12-28 | N |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-28 | 2018-12-28 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-28 | 2018-12-28 | 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 | 2018-09-28 | 2018-12-28 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2018-09-28 | 2018-12-28 | N |
Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2018-09-28 | 2018-12-28 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-28 | 2018-12-28 | N |
Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-28 | 2018-12-28 | 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 | 2018-09-28 | 2018-12-28 | N |
Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-09-28 | 2018-12-28 | N |
Provide or obtain dental services for each resident. | Health | 2018-09-28 | 2018-12-28 | N |
Provide and implement an infection prevention and control program. | Health | 2018-09-28 | 2018-09-28 | N |