A list of the most recent deficiencies for Flora 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-11-07 | 2023-12-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-07 | 2023-12-10 | 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 | 2023-11-07 | 2023-12-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-06 | 2023-12-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-11-06 | 2023-12-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-11-06 | 2023-12-05 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-11-06 | 2023-12-05 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-06 | 2023-12-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-11-06 | 2023-12-05 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-22 | 2022-10-11 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-16 | 2022-10-07 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-16 | 2022-10-07 | N |
| Respond appropriately to all alleged violations. | Health | 2022-09-16 | 2022-10-07 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-09-16 | 2022-10-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-16 | 2022-10-06 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-09-16 | 2022-10-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-16 | 2022-10-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-09-16 | 2022-10-06 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-09-16 | 2022-10-06 | 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 | 2022-09-16 | 2022-10-06 | 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 | 2022-09-16 | 2022-10-06 | N |
| Provide or obtain dental services for each resident. | Health | 2022-09-16 | 2022-10-06 | N |
| Report COVID19 data to residents and families. | Health | 2022-09-16 | 2022-10-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-06-27 | 2022-07-11 | 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 | 2022-06-27 | 2022-07-11 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-27 | 2022-07-11 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-27 | 2022-07-11 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-22 | 2021-08-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-18 | 2021-07-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-06-18 | 2021-07-12 | 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 | 2021-06-18 | 2021-07-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-18 | 2021-07-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-06-18 | 2021-07-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-18 | 2021-07-12 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-06-18 | 2021-07-12 | 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 | 2021-06-18 | 2021-07-12 | 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 | 2021-06-18 | 2021-07-12 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-06-18 | 2021-07-12 | N |
| 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 | 2021-06-18 | 2021-07-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-06-18 | 2021-07-12 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-06-18 | 2021-07-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-04-29 | 2021-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-29 | 2021-05-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-29 | 2021-05-17 | 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 | 2021-04-29 | 2021-05-17 | Y |
