CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Decatur Rehab and Health Care Ct
View the most recent health deficiencies and inspection results for Decatur Rehab and Health Care Ct. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Decatur Rehab and Health Care Ct. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-09-25 | 2024-11-15 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2024-11-13 | 2024-11-14 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-13 | 2024-11-14 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-09-25 | 2024-11-13 | N |
| 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 | 2024-09-25 | 2024-11-13 | 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 | 2024-09-25 | 2024-11-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2024-09-25 | 2024-11-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-09-25 | 2024-11-04 | N |
| Develop a communication plan. | Fire Safety | 2024-09-25 | 2024-11-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-25 | 2024-11-04 | N |
| Establish emergency prep training and testing. | Fire Safety | 2024-09-25 | 2024-11-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-09-25 | 2024-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-09-25 | 2024-10-18 | 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 | 2024-09-25 | 2024-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-09-25 | 2024-10-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-09-25 | 2024-10-18 | 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 | 2024-09-25 | 2024-10-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-09-25 | 2024-10-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2024-09-25 | 2024-10-18 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2024-09-25 | 2024-10-18 | N |
| Implement a program that monitors antibiotic use. | Health | 2024-09-25 | 2024-10-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-09-25 | 2024-10-18 | N |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2024-09-25 | 2024-10-18 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-09-25 | 2024-10-18 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-09-25 | 2024-10-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-09-25 | 2024-10-18 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-25 | 2024-10-18 | 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 | 2024-09-25 | 2024-10-18 | 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 | 2024-09-19 | 2024-10-08 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2024-08-20 | 2024-09-06 | 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 | 2024-08-20 | 2024-09-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-20 | 2024-09-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-20 | 2024-09-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-08 | 2024-05-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-08 | 2024-05-30 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-05-08 | 2024-05-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-04-04 | 2024-04-17 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-04 | 2024-04-17 | 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 | 2024-02-10 | 2024-03-01 | 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 | 2024-02-10 | 2024-03-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-10 | 2024-03-01 | Y |
| Provide a bathroom in or located near each resident?s room. | Health | 2024-02-10 | 2024-03-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-26 | 2024-02-22 | Y |
| Satisfy building requirements after a repair, renovation, modification, or change of user/occupancy. | Fire Safety | 2024-02-07 | 2024-02-16 | Y |
| Provide rooms that are at least 80 square feet per resident in multiple rooms and 100 square feet for single resident rooms. | Health | 2023-08-22 | 2023-11-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-08-22 | 2023-09-26 | N |
| 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 | 2023-08-22 | 2023-09-19 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-08-22 | 2023-09-14 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-22 | 2023-09-14 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-22 | 2023-09-14 | 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 | 2023-08-22 | 2023-09-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-22 | 2023-09-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-22 | 2023-09-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-08-22 | 2023-09-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-22 | 2023-09-14 | Y |
| Put firmly secured handrails on each side of hallways. | Health | 2023-08-22 | 2023-09-14 | 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 | 2023-08-22 | 2023-09-14 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-08-22 | 2023-09-14 | 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 | 2023-08-22 | 2023-09-14 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-22 | 2023-09-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-22 | 2023-09-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-08-22 | 2023-09-14 | N |
| Ensure a qualified health professional conducts resident assessments. | Health | 2023-08-22 | 2023-09-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-22 | 2023-09-14 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Develop a communication plan. | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-08-22 | 2023-08-31 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-07-31 | 2023-08-11 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-07-31 | 2023-08-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-31 | 2023-08-11 | 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 | 2023-07-31 | 2023-08-11 | Y |
| Keep all essential equipment working safely. | Health | 2023-07-31 | 2023-08-11 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-27 | 2022-09-23 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-07-27 | 2022-09-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-09-23 | 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 | 2022-07-27 | 2022-09-23 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-07-27 | 2022-09-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-07-27 | 2022-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-27 | 2022-09-08 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-27 | 2022-09-08 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-07-27 | 2022-09-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-07-27 | 2022-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-27 | 2022-09-08 | 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 | 2022-07-27 | 2022-09-08 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-07-27 | 2022-09-08 | 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 | 2022-07-27 | 2022-09-08 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-07-27 | 2022-09-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-07-27 | 2022-09-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-07-27 | 2022-09-08 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-07-27 | 2022-09-08 | 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 | 2022-07-27 | 2022-09-08 | 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 | 2022-07-27 | 2022-09-08 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-07-27 | 2022-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-27 | 2022-09-08 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-07-27 | 2022-09-08 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-27 | 2022-09-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-07-27 | 2022-09-08 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-07-27 | 2022-09-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-27 | 2022-09-08 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-07-27 | 2022-09-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-07-27 | 2022-09-01 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-07-27 | 2022-09-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-07-27 | 2022-09-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-07-27 | 2022-09-01 | N |
| Develop a communication plan. | Fire Safety | 2022-07-27 | 2022-09-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-07-27 | 2022-09-01 | N |