Deficiency Records for Hawthorne Center For Rehabilitation and Healing Of
Updated as of April 01, 2024
A list of the most recent deficiencies for Hawthorne Center For Rehabilitation and Healing Of. 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? |
|---|---|---|---|---|
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-01-03 | 2024-02-03 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-01-03 | 2024-02-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-02-17 | 2022-03-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-02-17 | 2022-03-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-02-17 | 2022-03-10 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-02-17 | 2022-03-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-12-10 | 2022-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-10 | 2022-01-10 | 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 | 2021-12-10 | 2022-01-10 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-12-10 | 2022-01-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-12-10 | 2022-01-10 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-12-10 | 2022-01-10 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-06-29 | 2021-07-29 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-24 | 2020-12-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-09-25 | 2020-12-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-25 | 2020-12-14 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2020-09-25 | 2020-12-14 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-09-24 | 2020-10-17 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2020-09-24 | 2020-10-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-24 | 2020-10-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-24 | 2020-10-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-20 | 2019-01-19 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2018-12-20 | 2019-01-19 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2018-12-20 | 2019-01-19 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-12-20 | 2019-01-19 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-20 | 2019-01-19 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2018-12-20 | 2019-01-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-12-20 | 2019-01-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-20 | 2019-01-19 | N |
| Meet other general requirements. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2018-12-18 | 2019-01-19 | N |
