Deficiency Records for Inspire Rehabilitation and Health Center LLC
Updated as of December 01, 2018
This is not the most recent data for Inspire Rehabilitation and Health Center LLC. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-03-09 | 2018-04-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2018-03-09 | 2018-04-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-03-09 | 2018-04-17 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-01-16 | 2018-02-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-01-16 | 2018-02-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-01-16 | 2018-02-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-01-16 | 2018-02-28 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-01-16 | 2018-02-28 | N |
| Develop a communication plan. | Fire Safety | 2018-01-16 | 2018-02-28 | 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 | 2018-01-16 | 2018-02-28 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-16 | 2018-02-28 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-16 | 2018-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2018-01-16 | 2018-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-01-16 | 2018-02-28 | 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 | 2018-01-16 | 2018-02-28 | 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 | 2018-01-16 | 2018-02-28 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-01-16 | 2018-02-28 | N |
| Keep all essential equipment working safely. | Health | 2018-01-16 | 2018-02-28 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-01-16 | 2018-02-28 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2018-01-16 | 2018-02-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-18 | 2017-02-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-18 | 2017-02-20 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2017-01-18 | 2017-02-20 | N |
| Allow residents to have visitors. | Health | 2016-12-16 | 2017-01-06 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-12-16 | 2017-01-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-12-16 | 2017-01-06 | N |
| Keep all essential equipment working safely. | Health | 2016-12-16 | 2017-01-06 | N |
| Make sure that a working call system is available in each resident's room or bathroom and bathing area. | Health | 2016-12-16 | 2017-01-06 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-10-27 | 2016-12-01 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-10-27 | 2016-12-01 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-27 | 2016-12-01 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-10-25 | 2016-12-01 | Y |
| Make sure that doctors see a resident's plan of care at every visit and make notes about progress and orders in writing. | Health | 2016-10-25 | 2016-12-01 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-01-27 | 2016-02-29 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-01-27 | 2016-02-29 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-01-27 | 2016-02-29 | N |
| Provide housekeeping and maintenance services. | Health | 2015-12-11 | 2016-01-19 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-12-11 | 2016-01-19 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-12-11 | 2016-01-19 | N |
| Keep all essential equipment working safely. | Health | 2015-12-11 | 2016-01-19 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2015-12-11 | 2016-01-19 | N |
