A list of the most recent deficiencies for Newman Rehab and Health Care 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? |
|---|---|---|---|---|
| Establish staff and initial training requirements. | Fire Safety | 2023-08-07 | 2023-09-06 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-08-09 | 2023-08-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-09 | 2023-08-31 | 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 | 2023-08-09 | 2023-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-09 | 2023-08-31 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-09 | 2023-08-31 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-09 | 2023-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-09 | 2023-08-31 | 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 | 2023-08-09 | 2023-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-09 | 2023-08-31 | 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 | 2023-08-09 | 2023-08-31 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-08-09 | 2023-08-31 | N |
| 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 | 2023-08-09 | 2023-08-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-08-09 | 2023-08-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-09 | 2023-08-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-07 | 2023-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-09 | 2023-03-23 | Y |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-08-10 | 2022-09-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-08-10 | 2022-09-02 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2022-08-10 | 2022-09-02 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-08-11 | 2022-08-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-11 | 2022-08-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-11 | 2022-08-17 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-11 | 2022-08-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-11 | 2022-08-17 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-08-11 | 2022-08-17 | 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 | 2022-08-11 | 2022-08-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-08-11 | 2022-08-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-11 | 2022-08-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-25 | 2021-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-25 | 2021-09-16 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-25 | 2021-09-16 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-08-25 | 2021-09-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-25 | 2021-09-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-08-09 | 2021-08-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-09 | 2021-08-25 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2021-08-09 | 2021-08-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-05-07 | 2021-06-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-05-07 | 2021-06-01 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-05-05 | 2021-05-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-05 | 2021-05-28 | 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 | 2021-05-05 | 2021-05-28 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-05-05 | 2021-05-28 | 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 | 2021-05-05 | 2021-05-28 | 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 | 2021-05-05 | 2021-05-28 | N |
| Provide or obtain x-rays/tests when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-05-05 | 2021-05-28 | N |
| 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 | 2021-05-05 | 2021-05-28 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2021-05-05 | 2021-05-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-05-05 | 2021-05-28 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-05-05 | 2021-05-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-05-28 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-05-05 | 2021-05-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-05 | 2021-05-28 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-05-05 | 2021-05-28 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-05-07 | 2021-05-28 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2021-05-07 | 2021-05-28 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-05-07 | 2021-05-28 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-05-07 | 2021-05-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-05-07 | 2021-05-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-07 | 2021-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-07 | 2021-05-28 | N |
