Deficiency Records for Promedica Skilled Nursing and Rehabilitation (lely
Updated as of October 01, 2018
This is not the most recent data for Promedica Skilled Nursing and Rehabilitation (lely. For the most recent information, click here.
A list of the most recent deficiencies for Promedica Skilled Nursing and Rehabilitation (lely. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2018-07-16 | 2018-08-20 | N |
| 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 | 2018-07-19 | 2018-08-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-07-19 | 2018-08-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-07-19 | 2018-08-16 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2018-07-16 | 2018-08-09 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-07-16 | 2018-08-09 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-07-16 | 2018-08-09 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-07-16 | 2018-08-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-07-16 | 2018-08-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-15 | 2017-07-15 | N |
| A two-hour-resistant firewall separation. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Properly maintained smoke detectors. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-06-22 | 2016-07-23 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-06-23 | 2016-07-23 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2015-12-16 | 2016-01-16 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2015-12-16 | 2016-01-16 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-16 | Not Fixed | N |
