Deficiency Records for North Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for North Healthcare and Rehabilitation Center. 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 | 2023-09-07 | 2023-10-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-07 | 2023-10-06 | 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 | 2023-09-07 | 2023-10-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-07 | 2023-10-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-09-06 | 2023-10-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-06 | 2021-10-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-06 | 2021-10-30 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2021-10-06 | 2021-10-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-10-06 | 2021-10-30 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-10-06 | 2021-10-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-10-06 | 2021-10-30 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-10-06 | 2021-10-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-11 | 2021-04-11 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-03-11 | 2021-04-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-11 | 2021-04-11 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-26 | 2019-12-27 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-26 | 2019-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-26 | 2019-12-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-26 | 2019-12-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-26 | 2019-12-27 | N |
