Deficiency Records for The Loft Rehab of Rock Springs
Updated as of October 01, 2019
This is not the most recent data for The Loft Rehab of Rock Springs. For the most recent information, click here.
A list of the most recent deficiencies for The Loft Rehab of Rock Springs. 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 | 2019-06-20 | 2019-07-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-06-20 | 2019-07-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-20 | 2019-07-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-13 | 2019-06-25 | 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 | 2019-06-13 | 2019-06-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-26 | 2019-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-26 | 2019-05-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-03-28 | 2019-05-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-28 | 2019-04-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-28 | 2019-04-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-03-28 | 2019-04-30 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-03-28 | 2019-04-12 | N |
| Provide activities to meet all resident's needs. | Health | 2019-03-28 | 2019-04-12 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-03-28 | 2019-04-12 | 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 | 2019-03-28 | 2019-04-12 | 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 | 2019-03-28 | 2019-04-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-03-28 | 2019-04-12 | 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 | Health | 2019-03-28 | 2019-04-12 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-03-28 | 2019-04-12 | 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 ne | Health | 2019-03-28 | 2019-04-12 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-03-28 | 2019-04-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-03-28 | 2019-04-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-28 | 2019-04-12 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-03-28 | 2019-04-12 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-03-28 | 2019-04-12 | Y |
| Have protected exits that allow the resident to escape the building. | Fire Safety | 2019-03-28 | 2019-04-10 | 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 | 2019-03-28 | 2019-04-10 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2019-03-28 | 2019-04-10 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-03-28 | 2019-04-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-03-28 | 2019-04-10 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-03-28 | 2019-04-10 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-03-28 | 2019-04-10 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2019-03-28 | 2019-04-10 | 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 | 2019-03-14 | 2019-04-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-14 | 2019-04-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-03-14 | 2019-04-04 | Y |
| Make sure each resident has 1) at least one window to the outside in a room; 2) a room at or above ground level; 3) adequate bedding; 4) furniture that meets the resident's needs; or 5) adequate closet space. | Health | 2019-03-14 | 2019-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-01-10 | 2019-01-23 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-11-27 | 2018-12-05 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-10-25 | 2018-11-09 | 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 | 2018-10-25 | 2018-11-09 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-10-11 | 2018-10-20 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-10-03 | 2018-10-07 | 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 | 2018-10-03 | 2018-10-07 | Y |
| 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 | 2018-10-03 | 2018-10-04 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-10-03 | 2018-10-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-02-13 | 2018-04-10 | 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 | 2018-02-13 | 2018-04-10 | 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 | 2018-02-13 | 2018-04-10 | N |
| Respond appropriately to all alleged violations. | Health | 2018-02-13 | 2018-04-04 | 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 | 2018-02-13 | 2018-04-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-13 | 2018-04-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-13 | 2018-04-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-02-13 | 2018-04-04 | 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 | 2018-02-13 | 2018-04-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-02-13 | 2018-04-04 | 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 | 2018-02-13 | 2018-04-04 | N |
| Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | Health | 2018-02-13 | 2018-04-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-13 | 2018-04-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-02-13 | 2018-04-04 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-02-07 | 2018-02-27 | N |
| Properly care for residents needing special services, including: injections, colostomy, ureostomy, ileostomy, tracheostomy care, tracheal suctioning, respiratory care, foot care, and prostheses. | Health | 2017-08-24 | 2017-08-25 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-08-24 | 2017-08-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-07 | 2017-08-25 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-07 | 2017-08-25 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-07 | 2017-08-25 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-08-07 | 2017-08-25 | Y |
| Use a registered nurse at least 8 hours a day, 7 days a week. | Health | 2017-06-12 | 2017-06-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-05-13 | 2017-06-05 | 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 | 2017-01-18 | 2017-02-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Ensure operating rooms are properly protected and written records are maintained and available for inspection. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-01-18 | 2017-02-16 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-01-13 | 2017-02-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-01-13 | 2017-02-03 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-01-13 | 2017-02-03 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-01-13 | 2017-02-03 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-01-13 | 2017-02-03 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-11-10 | 2016-11-21 | Y |
| Provide timely notification to the resident before transfer or discharge. | Health | 2016-10-19 | 2016-11-01 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-10-19 | 2016-11-01 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-10-01 | 2016-10-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-10-01 | 2016-10-12 | Y |
