Deficiency Records for Peninsula Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Peninsula Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-05 | 2023-05-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-05 | 2023-05-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-05-05 | 2023-05-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-05 | 2023-05-29 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-05 | 2023-05-29 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-06 | 2022-08-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-06 | 2022-08-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-08 | 2022-08-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-08 | 2022-08-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-08 | 2022-08-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-07-08 | 2022-08-01 | 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 | 2021-03-12 | 2021-04-07 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-03-10 | 2021-04-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-18 | 2019-05-18 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-18 | 2019-05-18 | 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 | 2019-04-18 | 2019-05-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-18 | 2019-05-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-18 | 2019-05-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-18 | 2019-05-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-04-16 | 2019-05-18 | N |
