A list of the most recent deficiencies for Carrollton Nursing and Rehab Ctr. 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 an approved automatic sprinkler system. | Fire Safety | 2023-12-07 | 2024-02-07 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-12-07 | 2024-01-21 | 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 | 2023-12-07 | 2024-01-21 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-12-07 | 2024-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-07 | 2024-01-21 | N |
| Provide sliding doors free of hazards, operable without special knowledge or effort, and meet weight requirements to set door in motion. | Fire Safety | 2023-12-07 | 2024-01-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-12-07 | 2024-01-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-07 | 2024-01-21 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-12-07 | 2024-01-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-12-07 | 2024-01-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-31 | 2022-05-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-31 | 2022-05-20 | 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 | 2022-03-31 | 2022-05-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-03-31 | 2022-05-20 | N |
| Provide appropriate foot care. | Health | 2022-03-31 | 2022-05-20 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-03-31 | 2022-05-20 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-03-31 | 2022-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-03-31 | 2022-05-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-03-31 | 2022-05-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-03-31 | 2022-05-20 | N |
| Keep all essential equipment working safely. | Health | 2022-03-31 | 2022-05-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-31 | 2022-05-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-03-31 | 2022-05-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-31 | 2022-05-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-08 | 2018-12-23 | 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 | 2018-11-08 | 2018-12-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-08 | 2018-12-23 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-08 | 2018-12-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-11-06 | 2018-12-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-11-06 | 2018-12-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-11-06 | 2018-12-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-11-06 | 2018-12-23 | N |
