A list of the most recent deficiencies for Linn Haven Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-07-13 | 2023-08-16 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-02 | 2022-12-16 | 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 | 2022-11-07 | 2022-12-08 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-11-07 | 2022-12-08 | 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 | 2022-11-07 | 2022-12-08 | 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 | 2022-11-07 | 2022-12-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-11-07 | 2022-12-08 | 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 | 2022-11-07 | 2022-12-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-11-07 | 2022-12-08 | 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 | 2022-11-07 | 2022-12-08 | 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 | 2022-11-07 | 2022-12-08 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-07 | 2022-12-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-07 | 2022-12-08 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-11-07 | 2022-12-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-07 | 2022-12-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-07 | 2022-12-08 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-07 | 2022-12-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-07 | 2022-12-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2022-11-07 | 2022-12-08 | Y |
| 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 | 2022-11-07 | 2022-12-08 | Y |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-11-07 | 2022-12-08 | Y |
| 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 | 2022-11-07 | 2022-12-08 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-07 | 2022-12-08 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-02 | 2022-12-02 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-11-02 | 2022-11-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-02 | 2022-11-28 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-11-02 | 2022-11-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-11-02 | 2022-11-28 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-02 | 2022-11-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-02 | 2022-11-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-02 | 2022-11-05 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-05-13 | 2021-06-06 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-13 | 2021-06-06 | 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 | 2021-05-13 | 2021-06-06 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2021-05-17 | 2021-06-02 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2021-05-17 | 2021-06-01 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-05-17 | 2021-05-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-05-17 | 2021-05-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-05-17 | 2021-05-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-05-17 | 2021-05-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-05-17 | 2021-05-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-02 | 2019-07-24 | 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 | 2019-07-02 | 2019-07-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-02 | 2019-07-24 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-02 | 2019-07-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-07-02 | 2019-07-24 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-07-11 | 2019-07-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-11 | 2019-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-07-11 | 2019-07-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-11 | 2019-07-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-11 | 2019-07-12 | N |
