A list of the most recent deficiencies for Rochelle Gardens Care Center. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-01-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-01-10 | 2024-01-25 | Y |
| Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. | Health | 2023-09-07 | 2023-12-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-07 | 2023-12-30 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-07-20 | 2023-12-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-20 | 2023-12-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-16 | 2023-11-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-07-20 | 2023-11-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-11-07 | 2023-11-20 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-07-20 | 2023-11-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-27 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-09-07 | 2023-11-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-20 | 2023-11-10 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2023-08-09 | 2023-08-23 | Y |
| 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 | 2023-07-20 | 2023-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-07-20 | 2023-08-18 | N |
| Respond appropriately to all alleged violations. | Health | 2023-07-20 | 2023-08-18 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-07-20 | 2023-08-18 | 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 | 2023-07-20 | 2023-08-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-20 | 2023-08-18 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-20 | 2023-08-18 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2023-07-20 | 2023-08-18 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-20 | 2023-08-18 | 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 | 2023-07-20 | 2023-08-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-20 | 2023-08-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-29 | 2023-07-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-19 | 2023-05-05 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-21 | 2022-12-14 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2022-11-21 | 2022-12-14 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-16 | 2022-10-28 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-16 | 2022-09-20 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-08-16 | 2022-09-20 | 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 | 2022-08-03 | 2022-08-31 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-03 | 2022-08-31 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-03 | 2022-08-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-03 | 2022-08-31 | 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 | 2022-08-03 | 2022-08-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-08-03 | 2022-08-31 | 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 | 2022-08-03 | 2022-08-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-03 | 2022-08-31 | N |
| Respond appropriately to all alleged violations. | Health | 2022-06-16 | 2022-06-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-10 | 2022-06-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-10 | 2022-06-23 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-10 | 2022-06-23 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-04-05 | 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 | 2021-09-22 | 2021-11-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-10-28 | 2021-11-20 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2021-09-21 | 2021-10-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-09-21 | 2021-10-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-09-22 | 2021-10-19 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-09-22 | 2021-10-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-09-21 | 2021-10-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-21 | 2021-10-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-21 | 2021-10-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-21 | 2021-10-09 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-21 | 2021-10-09 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-09-21 | 2021-10-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-16 | 2021-10-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-22 | 2021-10-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-09-22 | 2021-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-22 | 2021-10-08 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-22 | 2021-10-07 | N |
