Deficiency Records for Inspire Rehabilitation and Health Center LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Inspire Rehabilitation and Health Center LLC. 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? |
|---|---|---|---|---|
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-08-09 | 2023-09-05 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-09 | 2023-09-05 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-09-05 | Y |
| 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 | 2023-08-09 | 2023-09-05 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-08-09 | 2023-09-05 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-05 | 2022-12-02 | N |
| Respond appropriately to all alleged violations. | Health | 2022-08-05 | 2022-12-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-05 | 2022-12-02 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-05 | 2022-12-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-05 | 2022-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-05 | 2022-12-02 | 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 | 2022-08-05 | 2022-10-21 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-08-05 | 2022-10-21 | 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 | 2022-08-05 | 2022-10-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-08-05 | 2022-10-21 | 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 | 2022-08-05 | 2022-10-21 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2022-08-05 | 2022-10-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-05 | 2022-10-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-05 | 2022-10-21 | 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 | 2022-08-05 | 2022-10-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-05 | 2022-10-21 | N |
| Provide activities to meet all resident's needs. | Health | 2022-08-05 | 2022-10-21 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-08-05 | 2022-10-21 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-05 | 2022-10-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-08-05 | 2022-10-21 | 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 | 2022-08-05 | 2022-10-21 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-08-05 | 2022-10-21 | 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 | 2022-08-05 | 2022-10-21 | 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 | 2022-08-05 | 2022-10-21 | N |
| Provide or obtain dental services for each resident. | Health | 2022-08-05 | 2022-10-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-08-05 | 2022-10-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-08-05 | 2022-10-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-10-21 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-05 | 2022-10-21 | N |
| Keep all essential equipment working safely. | Health | 2022-08-05 | 2022-10-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-05 | 2022-10-21 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-08-09 | 2022-10-21 | 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 | 2019-12-09 | 2020-01-26 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-12-09 | 2020-01-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-09 | 2020-01-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-09 | 2020-01-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-09 | 2020-01-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-12-09 | 2020-01-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-12-09 | 2020-01-26 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2019-12-09 | 2020-01-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-05 | 2019-05-06 | 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 | 2019-03-05 | 2019-05-06 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-03-05 | 2019-05-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-05 | 2019-05-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-05 | 2019-05-06 | 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 | 2019-03-05 | 2019-05-06 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-05 | 2019-05-06 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-05 | 2019-05-06 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-03-05 | 2019-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-05 | 2019-05-06 | N |
| Keep all essential equipment working safely. | Health | 2019-03-05 | 2019-05-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-03-05 | 2019-05-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-05 | 2019-05-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-05 | 2019-05-06 | N |
