Deficiency Records for North Dade Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for North Dade 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? |
|---|---|---|---|---|
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-09-20 | 2023-10-14 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-09-20 | 2023-10-14 | 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 | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-03-24 | 2023-04-24 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-03-24 | 2023-04-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide or obtain dental services for each resident. | Health | 2023-03-24 | 2023-04-24 | N |
| Dispose of garbage and refuse properly. | Health | 2023-03-24 | 2023-04-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-03-24 | 2023-04-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-03-24 | 2023-04-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-24 | 2023-04-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-24 | 2023-04-24 | 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 | 2023-03-24 | 2023-04-24 | 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 | 2023-03-23 | 2023-04-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-03-23 | 2023-04-24 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-10-07 | 2022-11-06 | Y |
| 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 | 2022-08-03 | 2022-09-04 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-12-09 | 2022-01-09 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2021-12-09 | 2022-01-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-12-09 | 2022-01-09 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-12-09 | 2022-01-09 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-12-09 | 2022-01-09 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2021-12-09 | 2022-01-09 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-12-09 | 2022-01-09 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-12-09 | 2022-01-09 | 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 | 2021-12-09 | 2022-01-09 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2021-12-09 | 2022-01-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-14 | 2022-01-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-12-14 | 2022-01-09 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2021-08-26 | 2021-09-09 | Y |
| 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 | 2021-08-26 | 2021-09-09 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-08-26 | 2021-09-09 | Y |
| 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 | 2019-10-17 | 2019-11-17 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-17 | 2019-11-17 | N |
| Keep all essential equipment working safely. | Health | 2019-10-17 | 2019-11-17 | N |
| Ensure resident rooms hold no more than 4 residents; for new construction after November 28, 2016, rooms hold no more than 2 residents. | Health | 2019-10-17 | 2019-11-17 | N |
| Provide a bathroom in or located near each resident?s room. | Health | 2019-10-17 | 2019-11-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-17 | 2019-11-17 | N |
