Deficiency Records for Polaris Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Polaris Healthcare 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-10-18 | 2022-12-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-10-18 | 2022-12-01 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-18 | 2022-12-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-10-18 | 2022-12-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-10-18 | 2022-12-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-18 | 2022-12-01 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-10-18 | 2022-12-01 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-10-18 | 2022-12-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-10-18 | 2022-12-01 | N |
| Post nurse staffing information every day. | Health | 2022-10-18 | 2022-12-01 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | 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 | 2022-10-18 | 2022-12-01 | N |
| Provide or obtain dental services for each resident. | Health | 2022-10-18 | 2022-12-01 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-10-18 | 2022-12-01 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-18 | 2022-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-10-18 | 2022-12-01 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-10-18 | 2022-12-01 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-02-08 | 2022-03-31 | 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 | 2021-03-08 | 2021-03-29 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-04-17 | 2020-04-18 | N |
