Deficiency Records for Ann Pearl Nursing Facility
Updated as of January 01, 2022
This is not the most recent data for Ann Pearl Nursing Facility. For the most recent information, click here.
A list of the most recent deficiencies for Ann Pearl Nursing Facility. 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-02-17 | 2021-04-09 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-02-17 | 2021-04-09 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2021-02-17 | 2021-04-09 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2021-02-17 | 2021-04-09 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-02-17 | 2021-04-09 | 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 | 2021-02-17 | 2021-04-09 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-02-17 | 2021-04-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-02-17 | 2021-04-09 | 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 | 2021-02-17 | 2021-04-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-02-17 | 2021-04-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-02-17 | 2021-04-09 | N |
| 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 | 2021-02-17 | 2021-04-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-02-17 | 2021-04-09 | N |
| 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 | 2021-02-17 | 2021-04-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-02-17 | 2021-04-09 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2021-02-17 | 2021-04-09 | 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 | 2021-02-17 | 2021-04-09 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-02-17 | 2021-04-09 | 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 | 2021-02-17 | 2021-04-09 | 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 | 2021-02-17 | 2021-04-09 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-02-17 | 2021-04-09 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-02-17 | 2021-04-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-17 | 2021-04-09 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-02-17 | 2021-04-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-02-17 | 2021-04-09 | 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 | 2021-02-05 | 2021-03-27 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-02-05 | 2021-03-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-08 | 2019-12-16 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-03-08 | 2019-04-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-03-08 | 2019-04-22 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-03-08 | 2019-04-22 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-03-08 | 2019-04-22 | 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 | 2019-03-08 | 2019-04-22 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-03-08 | 2019-04-22 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-08 | 2019-04-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-05-15 | 2018-07-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-15 | 2018-07-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-15 | 2018-07-24 | 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 | 2018-05-15 | 2018-07-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-15 | 2018-07-24 | 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 | 2018-05-15 | 2018-07-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-15 | 2018-07-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-05-15 | 2018-07-24 | N |
| Keep all essential equipment working safely. | Health | 2018-05-15 | 2018-07-24 | N |
