Deficiency Records for Rochelle Gardens Care Center
Updated as of November 01, 2022
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? |
---|---|---|---|---|
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 |
Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
Establish policies and procedures including evacuation. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
Implement emergency and standby power systems. | Fire Safety | 2020-10-28 | 2020-12-11 | N |
Address patient/client population and determine types of services needed. | Fire Safety | 2020-10-28 | 2020-12-10 | N |
Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-10-28 | 2020-12-10 | N |
Establish staff and initial training requirements. | Fire Safety | 2020-10-28 | 2020-11-01 | 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 | 2020-10-30 | 2020-10-30 | N |
Provide activities to meet all resident's needs. | Health | 2020-10-30 | 2020-10-30 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-10-30 | 2020-10-30 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-10-30 | 2020-10-30 | 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 | 2020-10-30 | 2020-10-30 | 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 | 2020-10-30 | 2020-10-30 | N |
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2020-10-30 | 2020-10-30 | 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 | 2020-10-30 | 2020-10-30 | 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 | 2020-10-30 | 2020-10-30 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2020-10-28 | 2020-10-30 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-10-28 | 2020-10-30 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2020-10-28 | 2020-10-30 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-10-28 | 2020-10-30 | N |
Provide properly protected cooking facilities. | Fire Safety | 2020-10-28 | 2020-10-29 | N |
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 |
Provide and implement an infection prevention and control program. | Health | 2020-10-07 | Not Fixed | N |