Deficiency Records for Addison Pointe Health and Rehabilitation Center
Updated as of May 01, 2018
This is not the most recent data for Addison Pointe Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Addison Pointe Health and Rehabilitation 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? |
|---|---|---|---|---|
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-10-27 | 2017-12-06 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-08-22 | 2017-09-21 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-08-22 | 2017-09-21 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-06-23 | 2017-07-23 | Y |
| Give or get quality laboratory services/tests in a timely manner to meet the needs of residents. | Health | 2017-05-09 | 2017-06-06 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-05-09 | 2017-06-06 | Y |
| Have a correctly designed non-healthcare occupancy area in a health care facility. | Fire Safety | 2017-05-02 | 2017-05-26 | 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 | 2017-05-02 | 2017-05-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-05-02 | 2017-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-05-02 | 2017-05-26 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-04-03 | 2017-05-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-04-03 | 2017-05-03 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-04-03 | 2017-05-03 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-03 | 2017-05-03 | Y |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2017-04-03 | 2017-05-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-04-03 | 2017-05-03 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-04-03 | 2017-05-03 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-04-03 | 2017-05-03 | Y |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-04-03 | 2017-05-03 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-09 | 2017-03-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-06-23 | 2016-07-23 | Y |
| Provide activities to meet the interests and needs of each resident. | Health | 2016-06-23 | 2016-07-23 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-23 | 2016-07-23 | Y |
| Corridor and hallway doors that block smoke. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Walls that prevent smoke from passing through and would resist fire for at least one hour. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Horizontal exits. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| A fire alarm system that can be heard throughout the facility. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Have other fire safety features required by fire safety codes. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-04-18 | 2016-05-18 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-03-04 | 2016-04-03 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-03-04 | 2016-04-03 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-03-04 | 2016-04-03 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-03-04 | 2016-04-03 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-03-04 | 2016-04-03 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-03-04 | 2016-04-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-03-04 | 2016-04-03 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2016-03-04 | 2016-04-03 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-03-04 | 2016-04-03 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-03-04 | 2016-04-03 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2016-03-04 | 2016-04-03 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-07-16 | 2015-08-15 | Y |
| Smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2015-03-18 | 2015-05-22 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2015-03-18 | 2015-05-22 | N |
| Fire resistant room wall surfaces. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Record of quarterly fire drills for each shift under varying conditions. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Restrictions on the use of portable space heaters. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Weekly inspections and monthly testing of generators. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Back-up procedures in place for a faulty automatic sprinkler system. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| An approved back-up procedure for a faulty fire alarm system. | Fire Safety | 2015-03-18 | 2015-04-30 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2015-02-17 | 2015-03-19 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2015-02-17 | 2015-03-19 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2015-02-17 | 2015-03-19 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2015-02-17 | 2015-03-19 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-02-17 | 2015-03-19 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2015-02-17 | 2015-03-19 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-02-17 | 2015-03-19 | N |
| Make sure that residents receive treatments/services to maintain or improve their ability to care for themselves. | Health | 2015-02-17 | 2015-03-19 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2015-02-17 | 2015-03-19 | N |
| Give proper treatment to residents with feeding tubes to prevent problems (such as aspiration pneumonia, diarrhea, vomiting, dehydration, metabolic abnormalities, nasal-pharyngeal ulcers) and help restore eating skills, if possible. | Health | 2015-02-17 | 2015-03-19 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2015-02-17 | 2015-03-19 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-02-17 | 2015-03-19 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2015-02-17 | 2015-03-19 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2015-02-17 | 2015-03-19 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2015-02-17 | 2015-03-19 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-02-17 | 2015-03-19 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-02-17 | 2015-03-19 | N |
