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Deficiency Records for Landmark at 95th Rehabilitation and Nursing Center
View the most recent health deficiencies and inspection results for Landmark at 95th Rehabilitation and Nursing Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Landmark at 95th Rehabilitation and Nursing Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2026-04-30 | 2026-05-15 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-04-06 | 2026-04-18 | Y |
| 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 | 2026-04-06 | 2026-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-04-06 | 2026-04-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-13 | 2026-04-15 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2026-03-26 | 2026-04-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-01-30 | 2026-02-27 | Y |
| Keep all essential equipment working safely. | Health | 2026-01-30 | 2026-02-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2026-01-30 | 2026-02-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-01-30 | 2026-02-27 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2026-01-26 | 2026-02-03 | 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 | 2026-01-26 | 2026-02-03 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2026-01-26 | 2026-02-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2026-01-26 | 2026-02-03 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-08-15 | 2025-08-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-15 | 2025-08-25 | Y |
| Use approved construction type or materials. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-07-24 | 2025-08-20 | 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 | 2025-07-24 | 2025-08-20 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2025-07-24 | 2025-08-20 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-07-24 | 2025-08-20 | 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 | 2025-07-24 | 2025-08-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-24 | 2025-08-06 | 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 | 2025-07-09 | 2025-08-06 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-07-24 | 2025-08-06 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-24 | 2025-08-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2025-07-24 | 2025-08-06 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-07-24 | 2025-08-06 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-24 | 2025-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-24 | 2025-08-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-07-24 | 2025-08-06 | N |
| 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 | 2025-07-24 | 2025-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-24 | 2025-08-06 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2025-07-24 | 2025-08-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-06-08 | 2025-06-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-04-25 | 2025-05-07 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2025-02-04 | 2025-02-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-02-04 | 2025-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-02-04 | 2025-02-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-02-04 | 2025-02-16 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-04 | 2025-02-16 | 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 | 2025-02-04 | 2025-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-08 | 2025-01-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-12-02 | 2024-12-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2024-11-04 | 2024-11-07 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-22 | 2024-11-01 | 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 | 2024-10-22 | 2024-11-01 | Y |
| Keep all essential equipment working safely. | Health | 2024-10-22 | 2024-11-01 | 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 | 2024-10-01 | 2024-11-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-10-01 | 2024-11-01 | 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 | 2024-10-22 | 2024-11-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2024-10-22 | 2024-11-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-10-22 | 2024-11-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-10-01 | 2024-10-16 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-01 | 2024-10-16 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-07-17 | 2024-10-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-07-17 | 2024-08-23 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-17 | 2024-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-07-17 | 2024-08-09 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-07-17 | 2024-08-07 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-17 | 2024-08-06 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-07-17 | 2024-08-06 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-07-17 | 2024-08-06 | N |
| Use approved construction type or materials. | Fire Safety | 2024-07-17 | 2024-08-06 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-07-17 | 2024-08-06 | 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 | 2024-07-17 | 2024-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-03 | 2024-07-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-07-17 | 2024-07-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-07-17 | 2024-07-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-07-17 | 2024-07-31 | 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 | 2024-07-17 | 2024-07-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-07-17 | 2024-07-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-17 | 2024-07-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-17 | 2024-07-31 | N |
| Post nurse staffing information every day. | Health | 2024-07-17 | 2024-07-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-17 | 2024-07-31 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2024-07-17 | 2024-07-31 | N |
| Dispose of garbage and refuse properly. | Health | 2024-07-17 | 2024-07-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-07-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-03 | 2024-07-23 | 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 | 2024-07-03 | 2024-07-23 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-07-03 | 2024-07-23 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-05-10 | 2024-05-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-10 | 2024-05-22 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-05-10 | 2024-05-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-03-15 | 2024-03-26 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-02-02 | 2024-02-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-02-02 | 2024-02-16 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-02-02 | 2024-02-16 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-12-01 | 2023-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-01 | 2023-12-21 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-01 | 2023-12-21 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-01 | 2023-12-21 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-01 | 2023-12-21 | 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 | 2023-12-01 | 2023-12-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-27 | 2023-10-13 | Y |
| Provide activities to meet all resident's needs. | Health | 2023-08-10 | 2023-08-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-09 | 2023-08-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-06-09 | 2023-07-20 | 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 | 2023-06-09 | 2023-07-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-06-09 | 2023-07-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-09 | 2023-07-17 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2023-06-09 | 2023-07-17 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-09 | 2023-07-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-09 | 2023-07-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-09 | 2023-07-17 | N |
| 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 | 2023-06-09 | 2023-07-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-06-09 | 2023-07-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-09 | 2023-07-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-09 | 2023-07-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-09 | 2023-07-17 | 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 | 2023-06-09 | 2023-06-26 | 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 | 2023-06-09 | 2023-06-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-09 | 2023-06-26 | 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 | 2023-06-09 | 2023-06-26 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-06-09 | 2023-06-26 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2023-06-09 | 2023-06-26 | N |