A list of the most recent deficiencies for Ingleside at Rock 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? |
|---|---|---|---|---|
| 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 | 2022-08-25 | 2022-10-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-25 | 2022-10-27 | 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 | 2022-08-25 | 2022-10-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-25 | 2022-10-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-08-25 | 2022-10-27 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-08-25 | 2022-10-27 | 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 | 2022-08-25 | 2022-10-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-25 | 2022-10-27 | 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 | 2022-10-27 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-25 | 2022-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-25 | 2022-10-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-25 | 2022-10-27 | 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 | 2020-01-15 | 2020-02-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-01-15 | 2020-02-29 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2020-01-15 | 2020-02-29 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-01-15 | 2020-02-29 | 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 | 2020-01-15 | 2020-02-29 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-15 | 2020-02-29 | 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 | 2020-01-15 | 2020-02-29 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2020-01-15 | 2020-02-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-01-15 | 2020-02-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-01-15 | 2020-02-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2020-01-15 | 2020-02-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-15 | 2020-02-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-01-15 | 2020-02-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2020-01-15 | 2020-02-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-01-15 | 2020-02-29 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-01-15 | 2020-02-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-15 | 2020-02-29 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-15 | 2020-02-29 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-14 | 2020-02-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-01-14 | 2020-02-29 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-10-26 | 2018-12-13 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-26 | 2018-12-13 | 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 | 2018-10-26 | 2018-12-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-10-26 | 2018-12-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-10-26 | 2018-12-13 | 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 | 2018-10-26 | 2018-12-13 | N |
| Keep all essential equipment working safely. | Health | 2018-10-26 | 2018-12-13 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-10-26 | 2018-12-13 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-10-26 | 2018-12-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-10-26 | 2018-12-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2018-10-26 | 2018-12-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-26 | 2018-12-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-26 | 2018-12-13 | N |
