Deficiency Records for Promedica Skilled Nursing and Rehabilitation (lely
Updated as of July 01, 2021
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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-14 | 2021-05-07 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2021-04-14 | 2021-05-07 | 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 | 2021-04-14 | 2021-05-07 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-04-14 | 2021-05-07 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-14 | 2021-05-07 | 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 | 2021-04-14 | 2021-05-07 | N |
| Provide activities to meet all resident's needs. | Health | 2019-08-08 | 2019-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-08-08 | 2019-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-08 | 2019-09-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-08-08 | 2019-09-08 | 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 | 2019-08-08 | 2019-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-08 | 2019-09-08 | N |
| 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 approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-07-16 | 2018-08-03 | N |
