Deficiency Records for Unique Rehabilitation and Health Center LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Unique 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? |
|---|---|---|---|---|
| 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 | 2023-07-07 | 2023-07-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-26 | 2023-01-27 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-26 | 2023-01-09 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-26 | 2023-01-09 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-26 | 2023-01-09 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-26 | 2023-01-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-26 | 2023-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-26 | 2023-01-09 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-09-26 | 2023-01-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-26 | 2023-01-09 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-09-26 | 2022-12-05 | 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 | 2022-09-26 | 2022-12-05 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-26 | 2022-12-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-26 | 2022-12-05 | 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 | 2022-09-26 | 2022-12-05 | 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 | 2022-09-26 | 2022-12-05 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-26 | 2022-12-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-26 | 2022-12-05 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2022-09-26 | 2022-12-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-26 | 2022-12-05 | 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 | 2022-09-26 | 2022-12-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-09-26 | 2022-12-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-26 | 2022-12-05 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-09-26 | 2022-12-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-26 | 2022-12-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-26 | 2022-12-05 | 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 | 2022-09-26 | 2022-12-05 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-09-26 | 2022-12-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-26 | 2022-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-26 | 2022-12-05 | N |
| Keep all essential equipment working safely. | Health | 2022-09-26 | 2022-12-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-09-26 | 2022-12-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-03-17 | 2022-04-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-19 | 2021-05-19 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-10-13 | 2020-12-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-10-13 | 2020-12-11 | 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 | 2020-10-13 | 2020-12-11 | 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 | 2020-10-13 | 2020-12-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-10-13 | 2020-12-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-10-13 | 2020-12-11 | 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 | 2020-10-13 | 2020-12-11 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2020-10-13 | 2020-12-11 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2020-10-13 | 2020-12-11 | 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 | 2020-10-13 | 2020-12-11 | 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 | 2020-10-13 | 2020-12-11 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2020-10-13 | 2020-12-11 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-10-13 | 2020-12-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-10-13 | 2020-12-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-10-13 | 2020-12-11 | N |
| Keep all essential equipment working safely. | Health | 2020-10-13 | 2020-12-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-10-06 | 2020-12-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-10-06 | 2020-12-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-29 | 2019-06-10 | 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 | 2019-04-29 | 2019-06-10 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-29 | 2019-06-10 | 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 | 2019-04-29 | 2019-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-29 | 2019-06-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-29 | 2019-06-10 | 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 | 2019-04-29 | 2019-06-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-04-29 | 2019-06-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-29 | 2019-06-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-29 | 2019-06-10 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2019-04-29 | 2019-06-10 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-04-29 | 2019-06-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-29 | 2019-06-10 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-29 | 2019-06-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-29 | 2019-06-10 | N |
| Keep all essential equipment working safely. | Health | 2019-04-29 | 2019-06-10 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-04-29 | 2019-06-10 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2019-04-23 | 2019-06-10 | N |
| Meet other general requirements. | Fire Safety | 2019-04-23 | 2019-06-10 | N |
