Deficiency Records for Promedica Skilled Nursing and Rehabilitation (zeph
Updated as of April 01, 2024
A list of the most recent deficiencies for Promedica Skilled Nursing and Rehabilitation (zeph. 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? |
|---|---|---|---|---|
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-08-15 | 2023-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-15 | 2023-09-16 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-16 | 2023-09-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-16 | 2023-09-11 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2023-08-16 | 2023-09-11 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-08-16 | 2023-09-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-16 | 2023-09-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-03 | 2023-05-31 | Y |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2023-05-03 | 2023-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-05-03 | 2023-05-31 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-25 | 2021-11-27 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-08-25 | 2021-11-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-08-25 | 2021-11-27 | 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 | 2021-08-25 | 2021-11-27 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-08-25 | 2021-11-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-25 | 2021-11-27 | Y |
| 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 | 2021-08-25 | 2021-09-24 | 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 | 2021-08-25 | 2021-09-24 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-08-25 | 2021-09-24 | N |
| Post nurse staffing information every day. | Health | 2021-08-25 | 2021-09-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-25 | 2021-09-24 | 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 | 2021-08-25 | 2021-09-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-25 | 2021-09-24 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-08-25 | 2021-09-24 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-08-25 | 2021-09-24 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-12 | 2020-03-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-12-12 | 2020-03-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-12-12 | 2020-03-19 | 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 | 2019-12-12 | 2020-03-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-12-12 | 2020-03-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-12 | 2020-01-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-12 | 2020-01-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-12 | 2020-01-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-12-12 | 2020-01-12 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-12 | 2020-01-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-12 | 2020-01-12 | N |
