Deficiency Records for Pensacola Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Pensacola Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-19 | 2023-11-08 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-09-19 | 2023-11-08 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-09-19 | 2023-11-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-21 | 2023-10-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-21 | 2023-10-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-20 | 2023-04-21 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-04-20 | 2023-04-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-20 | 2023-04-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-04-20 | 2023-04-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-04-20 | 2023-04-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-20 | 2023-04-21 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-05-19 | 2022-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-05-19 | 2022-06-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-05-19 | 2022-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-05-16 | 2022-06-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-05-16 | 2022-06-30 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-05-16 | 2022-06-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-05-16 | 2022-06-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-04-28 | 2022-05-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-11-04 | 2021-12-04 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2021-05-06 | 2021-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-06 | 2021-06-07 | Y |
