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Deficiency Records for Flanagan Rehabilitation and Health Care Center
View the most recent health deficiencies and inspection results for Flanagan Rehabilitation and Health Care Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Flanagan Rehabilitation and Health Care Center. Stay informed about quality of care issues.
| 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 | 2025-09-18 | 2025-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-09-18 | 2025-10-15 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-09-18 | 2025-10-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-29 | 2025-08-19 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-07-29 | 2025-08-18 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2025-07-01 | 2025-07-07 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-08 | 2024-08-14 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2024-07-03 | 2024-07-15 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2024-07-03 | 2024-07-15 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-06-12 | 2024-06-28 | Y |
| 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 | 2024-05-08 | 2024-05-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-08 | 2024-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-08 | 2024-05-30 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-08 | 2024-05-30 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-05-08 | 2024-05-29 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-05-08 | 2024-05-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-05-08 | 2024-05-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-05-08 | 2024-05-13 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-05-08 | 2024-05-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-05-08 | 2024-05-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-08 | 2024-05-13 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2024-05-08 | 2024-05-13 | N |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2024-03-18 | 2024-04-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-01-24 | 2024-02-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-01-24 | 2024-02-20 | 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 | 2024-01-24 | 2024-02-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-24 | 2024-02-20 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-01-24 | 2024-02-20 | Y |
| 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 | 2024-01-24 | 2024-02-20 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-01-24 | 2024-02-20 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2024-01-24 | 2024-02-20 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-01-24 | 2024-02-20 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-19 | 2023-11-29 | 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 | 2023-10-24 | 2023-11-14 | Y |
| 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 | 2023-09-03 | 2023-11-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-03 | 2023-10-17 | Y |
| 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 | 2023-09-03 | 2023-10-17 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-19 | 2023-09-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-07-19 | 2023-08-12 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-19 | 2023-08-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-19 | 2023-08-12 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-07-19 | 2023-08-12 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-07-19 | 2023-08-12 | N |
| Develop a communication plan. | Fire Safety | 2023-07-19 | 2023-08-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-07-19 | 2023-08-12 | 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 | 2023-07-19 | 2023-08-11 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-19 | 2023-08-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-19 | 2023-08-11 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-19 | 2023-08-11 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-07-19 | 2023-08-11 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-07-19 | 2023-08-11 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-07-19 | 2023-08-11 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2023-07-19 | 2023-08-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-19 | 2023-08-11 | 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 | 2023-07-19 | 2023-08-11 | 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 | 2023-07-19 | 2023-08-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-19 | 2023-08-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-19 | 2023-08-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-19 | 2023-08-11 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-07-19 | 2023-08-11 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-19 | 2023-08-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-07-19 | 2023-08-11 | 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 | 2023-07-19 | 2023-08-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-09 | 2022-08-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-06-09 | 2022-07-15 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2022-06-09 | 2022-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-09 | 2022-06-24 | 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 | 2022-06-09 | 2022-06-20 | N |