Deficiency Records for Promedica Skilled Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Promedica Skilled Nursing 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-04-18 | 2023-05-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-18 | 2023-05-18 | Y |
| 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 | 2023-02-09 | 2023-03-28 | Y |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-02-09 | 2023-03-17 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-02-09 | 2023-03-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-09 | 2023-03-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-02-09 | 2023-03-17 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-02-09 | 2023-03-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-09 | 2023-03-17 | Y |
| 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 | 2023-02-09 | 2023-03-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-09 | 2023-03-17 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-02-09 | 2023-03-17 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-02-09 | 2023-03-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2023-02-07 | 2023-03-09 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-07 | 2023-03-09 | 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 | 2022-03-31 | 2022-04-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-31 | 2022-04-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-31 | 2022-04-29 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-03-31 | 2022-04-29 | Y |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2022-03-31 | 2022-04-29 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-06-07 | 2021-07-11 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-06-10 | 2021-07-10 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-06-10 | 2021-07-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-06-10 | 2021-07-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-06-10 | 2021-07-10 | 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 | 2021-06-10 | 2021-07-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-10 | 2021-07-10 | N |
| Keep all essential equipment working safely. | Health | 2021-06-10 | 2021-07-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-10 | 2021-07-10 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-09-26 | 2019-10-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-09-26 | 2019-10-26 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-09-26 | 2019-10-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-26 | 2019-10-26 | 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 | 2019-09-26 | 2019-10-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-09-26 | 2019-10-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-09-26 | 2019-10-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-09-26 | 2019-10-26 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-09-25 | 2019-10-25 | N |
