Deficiency Records for Gainesville Health and Rehabilitation
Updated as of April 01, 2024
A list of the most recent deficiencies for Gainesville Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-12-22 | 2024-02-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-22 | 2024-02-05 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-12-22 | 2024-02-05 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-12-22 | 2024-02-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-22 | 2024-02-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-22 | 2024-02-05 | 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 | 2023-12-22 | 2024-02-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-12-22 | 2024-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-22 | 2024-02-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-22 | 2024-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-20 | 2024-02-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2023-09-06 | 2023-10-19 | Y |
| Meet other general requirements. | Fire Safety | 2023-07-12 | 2023-08-11 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-07-12 | 2023-08-11 | Y |
| 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 | 2022-12-05 | 2023-01-06 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-09-07 | 2022-10-04 | Y |
| Post nurse staffing information every day. | Health | 2022-07-14 | 2022-10-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-07-14 | 2022-10-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2022-07-14 | 2022-08-15 | 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 | 2022-07-14 | 2022-08-15 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-07-14 | 2022-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-14 | 2022-08-15 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-07-13 | 2022-08-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-07-13 | 2022-08-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-07-13 | 2022-08-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-07-13 | 2022-08-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-07-13 | 2022-08-01 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-07-13 | 2022-08-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-07-13 | 2022-08-01 | 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 | 2022-07-14 | 2022-07-19 | 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 | 2022-07-14 | 2022-07-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-07-14 | 2022-07-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-07-14 | 2022-07-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-14 | 2022-07-19 | 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 | 2021-01-29 | 2021-03-12 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-01-29 | 2021-03-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-01-29 | 2021-03-12 | 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 | 2021-01-29 | 2021-03-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-01-29 | 2021-03-12 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-01-28 | 2021-03-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-01-28 | 2021-03-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-01-28 | 2021-03-12 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2021-01-28 | 2021-03-12 | N |
