Deficiency Records for Rochelle Gardens Care Center
Updated as of August 01, 2020
This is not the most recent data for Rochelle Gardens Care Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-01-21 | 2020-01-29 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2020-01-22 | 2020-01-25 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-01-22 | 2020-01-25 | Y |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-08 | 2019-06-30 | N |
| Be properly staffed | Fire Safety | 2019-05-08 | 2019-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-05-08 | 2019-05-29 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-05-08 | 2019-05-28 | 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 | 2019-05-08 | 2019-05-22 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-08 | 2019-05-08 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2019-05-03 | 2019-05-03 | 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 | 2019-05-03 | 2019-05-03 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-05-03 | 2019-05-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-03 | 2019-05-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-05-03 | 2019-05-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-05-03 | 2019-05-03 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-03 | 2019-05-03 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-03 | 2019-05-03 | 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 | 2019-05-03 | 2019-05-03 | N |
| Provide or obtain dental services for each resident. | Health | 2019-05-03 | 2019-05-03 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-05-03 | 2019-05-03 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-05-03 | 2019-05-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-03 | 2019-05-03 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-05-03 | 2019-05-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-03 | 2019-05-03 | N |
| Keep all essential equipment working safely. | Health | 2019-05-03 | 2019-05-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-03 | 2019-05-03 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-03-07 | 2019-03-09 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-03-07 | 2019-03-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-02-05 | 2019-02-26 | 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 | 2018-06-12 | 2018-08-28 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-06-12 | 2018-08-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-12 | 2018-08-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-06-12 | 2018-08-28 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-06-12 | 2018-08-28 | 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 | 2018-06-12 | 2018-08-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-12 | 2018-08-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-06-12 | 2018-08-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-06-12 | 2018-07-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-19 | 2018-07-10 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2018-06-12 | 2018-07-10 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-12 | 2018-07-10 | 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 | 2018-06-12 | 2018-07-10 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2018-06-12 | 2018-07-10 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-06-12 | 2018-07-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-06-12 | 2018-07-10 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2018-06-12 | 2018-07-10 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-06-12 | 2018-07-10 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2018-06-12 | 2018-07-10 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2018-06-12 | 2018-06-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-06-12 | 2018-06-15 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-06-12 | 2018-06-14 | 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 | 2018-06-12 | 2018-06-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-06-12 | 2018-06-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-06-12 | 2018-06-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-06-12 | 2018-06-13 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-06-12 | 2018-06-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-06-12 | 2018-06-13 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-06-12 | 2018-06-13 | N |
| Ensure proper storage of liquid oxygen. | Fire Safety | 2018-06-12 | 2018-06-13 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-04-18 | 2018-05-19 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-18 | 2018-05-19 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2018-04-18 | 2018-05-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-04-18 | 2018-05-09 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-03-06 | 2018-03-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2018-03-06 | 2018-03-21 | Y |
| Protect each resident from mistreatment, neglect and misappropriation of personal property. | Health | 2017-11-17 | 2017-12-13 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-11-17 | 2017-12-13 | Y |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-09-13 | 2017-09-28 | 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 | 2017-09-13 | 2017-09-28 | 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 | 2017-09-13 | 2017-09-28 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-08-02 | 2017-09-26 | 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 | 2017-07-27 | 2017-08-14 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2017-07-27 | 2017-08-14 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-07-27 | 2017-08-14 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-07-27 | 2017-08-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-07-27 | 2017-08-14 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2017-07-27 | 2017-08-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-08-02 | 2017-08-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-08-02 | 2017-08-04 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2017-08-02 | 2017-08-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-08-02 | 2017-08-04 | 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 | 2017-08-02 | 2017-08-03 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-08-02 | 2017-08-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-08-02 | 2017-08-03 | N |
