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Deficiency Records for Robin Run Health Center
A list of the most recent deficiencies for Robin Run Health Center. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Robin Run Health 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? |
|---|---|---|---|---|
| Assess the resident when there is a significant change in condition | Health | 2024-08-23 | 2024-09-16 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-08-23 | 2024-09-16 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-23 | 2024-09-16 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-08-23 | 2024-09-16 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-08-23 | 2024-09-16 | 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 | 2024-08-23 | 2024-09-16 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-23 | 2024-09-16 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-08-23 | 2024-09-16 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-04-29 | 2024-05-31 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-04-29 | 2024-05-31 | Y |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2024-04-29 | 2024-05-31 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2024-04-29 | 2024-05-31 | Y |
| Provide activities to meet all resident's needs. | Health | 2024-04-29 | 2024-05-31 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-04-29 | 2024-05-31 | Y |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2024-04-29 | 2024-05-31 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-04-29 | 2024-05-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-26 | 2024-01-03 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Develop a communication plan. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-06-26 | 2023-08-31 | 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 | 2023-06-26 | 2023-08-31 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-26 | 2023-08-31 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-06-12 | 2023-07-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-12 | 2023-07-26 | 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 | 2023-06-12 | 2023-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-06-12 | 2023-07-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-12 | 2023-07-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-06-12 | 2023-07-26 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-06-12 | 2023-07-26 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-06-12 | 2023-07-26 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-12 | 2023-07-26 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-12 | 2023-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-12 | 2023-07-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-06-15 | 2022-08-12 | N |
| Meet other general requirements. | Fire Safety | 2022-06-15 | 2022-08-12 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-06-15 | 2022-08-12 | 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 | 2022-06-15 | 2022-08-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-06-15 | 2022-08-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-15 | 2022-08-12 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-06-15 | 2022-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-15 | 2022-08-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-15 | 2022-07-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-05-02 | 2022-06-02 | 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 | 2022-05-02 | 2022-06-02 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-05-02 | 2022-06-02 | 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 | 2022-05-02 | 2022-06-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-05-02 | 2022-06-02 | 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 | 2022-05-02 | 2022-06-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-05-02 | 2022-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-05-02 | 2022-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-30 | 2021-12-28 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-06 | 2021-11-02 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-09-23 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-09-23 | Not Fixed | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-09-23 | Not Fixed | N |
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