A list of the most recent deficiencies for Discovery Rehabilitation and Living. 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 | 2023-08-24 | 2023-09-28 | 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 | 2023-08-24 | 2023-09-28 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-24 | 2023-09-28 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-08-24 | 2023-09-28 | Y |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-08-24 | 2023-09-28 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-08-24 | 2023-09-28 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-24 | 2023-09-28 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-24 | 2023-09-28 | Y |
| 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 | 2023-08-24 | 2023-09-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-24 | 2023-09-28 | Y |
| Post nurse staffing information every day. | Health | 2023-08-24 | 2023-09-28 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-24 | 2023-09-28 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-24 | 2023-09-28 | Y |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2023-08-24 | 2023-09-28 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-08-24 | 2023-09-28 | Y |
| 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 | 2023-08-24 | 2023-09-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-08-24 | 2023-09-28 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-11-30 | 2019-01-11 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-11-30 | 2019-01-11 | N |
| 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 | 2018-11-30 | 2019-01-11 | 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 | 2018-11-30 | 2019-01-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-30 | 2019-01-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-11-30 | 2019-01-11 | 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 | 2018-11-30 | 2019-01-11 | 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 | 2018-11-30 | 2019-01-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-30 | 2019-01-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-30 | 2019-01-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-11-30 | 2019-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-11-30 | 2019-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2019-01-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-11-30 | 2019-01-11 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-08-22 | 2018-11-16 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-08-22 | 2018-11-16 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-08-22 | 2018-11-16 | N |
| Provide emergency officials' contact information. | Fire Safety | 2018-08-22 | 2018-11-16 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-08-22 | 2018-11-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-22 | 2018-11-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-08-22 | 2018-11-16 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-08-11 | 2017-09-15 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-08-11 | 2017-09-15 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-08-11 | 2017-09-15 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-08-11 | 2017-09-15 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-08-11 | 2017-09-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-06-15 | 2017-08-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2017-06-15 | 2017-08-04 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2017-06-15 | 2017-08-04 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-06-15 | 2017-08-04 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2017-06-15 | 2017-08-04 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2017-06-15 | 2017-08-04 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2017-06-15 | 2017-08-04 | N |
