Deficiency Records for NORTH RIDGE VILLAGE NURSING & REHABILITATION CENTE
Updated as of July 01, 2021
This is not the most recent data for NORTH RIDGE VILLAGE NURSING & REHABILITATION CENTE. For the most recent information, click here.
A list of the most recent deficiencies for NORTH RIDGE VILLAGE NURSING & REHABILITATION CENTE. 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? |
|---|---|---|---|---|
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-05-05 | 2021-06-04 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-05 | 2021-06-04 | Y |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-05-05 | 2021-06-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-19 | 2021-04-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-10-20 | 2020-11-19 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Develop a communication plan. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Establish methods for sharing information. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-21 | 2020-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-15 | 2019-12-15 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-15 | 2019-12-15 | 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 | 2019-11-15 | 2019-12-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2019-11-15 | 2019-12-15 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-15 | 2019-12-15 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-09-27 | 2019-10-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-27 | 2019-10-27 | 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 | 2019-09-27 | 2019-10-27 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2019-09-27 | 2019-10-27 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-03 | 2019-03-13 | 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 | 2018-12-03 | 2019-03-13 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2018-12-03 | 2019-03-13 | N |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2018-12-20 | 2019-02-21 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-02-04 | 2019-02-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-11-01 | 2019-02-04 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2018-12-20 | 2019-01-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-12-20 | 2019-01-19 | 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 | 2018-12-03 | 2019-01-11 | 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 | 2018-12-03 | 2019-01-11 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-12-03 | 2019-01-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-12-03 | 2019-01-11 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-12-03 | 2019-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-03 | 2019-01-11 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-03 | 2019-01-11 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2018-11-01 | 2018-11-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-02-20 | 2018-05-17 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2018-02-20 | 2018-05-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-02-20 | 2018-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-02-20 | 2018-05-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-02-20 | 2018-05-17 | N |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-02-20 | 2018-04-17 | 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 | 2018-02-20 | 2018-04-17 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2018-02-20 | 2018-04-17 | 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 | 2018-02-20 | 2018-04-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-02-20 | 2018-04-17 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-02-20 | 2018-04-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-02-20 | 2018-04-17 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-02-20 | 2018-04-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-02-20 | 2018-04-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-02-20 | 2018-04-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-02-20 | 2018-04-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-11 | 2018-02-10 | 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 | 2018-01-11 | 2018-02-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-01-11 | 2018-02-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-01-11 | 2018-02-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-11 | 2018-02-10 | 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 | 2018-01-11 | 2018-02-10 | N |
