A list of the most recent deficiencies for Jerseyville Nsg and Rehab 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? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-19 | 2023-11-04 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-10-19 | 2023-11-04 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-09-27 | 2023-10-11 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-06-06 | 2023-06-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-06 | 2023-06-16 | Y |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-06-06 | 2023-06-16 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-06-06 | 2023-06-16 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-31 | 2023-06-01 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-03-31 | 2023-06-01 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-31 | 2023-06-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-25 | 2023-05-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-25 | 2023-05-10 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2023-04-26 | 2023-04-27 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-26 | 2023-04-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-26 | 2023-04-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-04-26 | 2023-04-27 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-03-31 | 2023-04-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-03-31 | 2023-04-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-31 | 2023-04-20 | Y |
| 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 | 2023-03-31 | 2023-04-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-31 | 2023-04-20 | Y |
| 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 | 2023-03-31 | 2023-04-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-03-31 | 2023-04-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-03-31 | 2023-04-20 | Y |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2022-10-18 | 2022-11-02 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2022-10-18 | 2022-11-02 | Y |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-10-18 | 2022-11-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-10-18 | 2022-11-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-29 | 2022-11-01 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-09-29 | 2022-10-18 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-29 | 2022-10-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-29 | 2022-10-18 | Y |
| 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 | 2022-06-13 | 2022-07-01 | Y |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-03-02 | 2022-03-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-03-02 | 2022-03-04 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-28 | 2022-02-07 | 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 | 2022-01-28 | 2022-02-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-09-04 | 2020-10-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Provide emergency officials' contact information. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Establish methods for sharing information. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-09-04 | 2020-09-24 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-09-04 | 2020-09-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-09-04 | 2020-09-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-04 | 2020-09-23 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2020-09-04 | 2020-09-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2020-09-04 | 2020-09-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-04 | 2020-09-21 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2020-09-04 | 2020-09-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-04 | 2020-09-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-03 | 2020-03-13 | 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 | 2020-03-03 | 2020-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-03 | 2020-03-13 | 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 | 2020-03-03 | 2020-03-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-03-03 | 2020-03-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-03-03 | 2020-03-13 | 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 | 2020-03-03 | 2020-03-13 | 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 | 2020-03-03 | 2020-03-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-03 | 2020-03-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-03-03 | 2020-03-13 | N |
