A list of the most recent deficiencies for Life Care Center of Rochester. 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? |
|---|---|---|---|---|
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-11-17 | 2023-12-15 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-11-17 | 2023-12-15 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-17 | 2023-12-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-17 | 2023-12-15 | Y |
| Provide and implement an infection prevention and control program. | Health | 2023-11-17 | 2023-12-15 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-07-25 | 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 | 2023-07-25 | 2023-08-18 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Have an externally vented heating system. | Fire Safety | 2023-07-25 | 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 | 2023-07-25 | 2023-08-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-25 | 2023-08-18 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-21 | 2023-07-14 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-06-21 | 2023-07-14 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-14 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-06-21 | 2023-07-14 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-06-21 | 2023-07-14 | 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 | 2023-06-21 | 2023-07-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-21 | 2023-07-14 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-06-21 | 2023-07-14 | 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 | 2022-12-20 | 2023-01-20 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-12-20 | 2023-01-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-10-05 | 2021-11-22 | 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 | 2021-10-05 | 2021-11-22 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-10-05 | 2021-11-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-09-20 | 2021-10-19 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-09-20 | 2021-10-19 | 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 | 2021-09-20 | 2021-10-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-20 | 2021-10-19 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-09-20 | 2021-10-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-09-20 | 2021-10-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-09-20 | 2021-10-19 | 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 | 2021-09-20 | 2021-10-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2021-09-20 | 2021-10-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-09-20 | 2021-10-19 | 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 | 2021-09-20 | 2021-10-19 | 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 | 2021-09-20 | 2021-10-19 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-09-20 | 2021-10-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-20 | 2021-10-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-09-20 | 2021-10-19 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-06-25 | 2021-07-25 | Y |
| 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 | 2021-06-25 | 2021-07-25 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2019-06-18 | 2019-07-17 | N |
| Meet other general requirements. | Fire Safety | 2019-06-18 | 2019-07-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-18 | 2019-07-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-18 | 2019-07-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-18 | 2019-07-17 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-03 | 2019-07-03 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-06-03 | 2019-07-03 | N |
| Respond appropriately to all alleged violations. | Health | 2019-06-03 | 2019-07-03 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-06-03 | 2019-07-03 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-06-03 | 2019-07-03 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2019-06-03 | 2019-07-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-06-03 | 2019-07-03 | 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 | 2019-06-03 | 2019-07-03 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-06-03 | 2019-07-03 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-06-03 | 2019-07-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-06-03 | 2019-07-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-03 | 2019-07-03 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-06-03 | 2019-07-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-03 | 2019-07-03 | N |
