Deficiency Records for Inspire Rehabilitation and Health Center LLC
Updated as of September 01, 2020
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 | 2019-03-05 | 2019-05-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-05 | 2019-05-06 | 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 | 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 |
