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Deficiency Records for Spencer Post Acute Rehabilitation Center
View the most recent health deficiencies and inspection results for Spencer Post Acute Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Spencer Post Acute Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2026-03-30 | 2026-04-01 | 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 | 2025-08-14 | 2025-09-13 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-08-14 | 2025-09-13 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-14 | 2025-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-08-14 | 2025-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-14 | 2025-09-13 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-08-14 | 2025-09-13 | 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 | 2025-08-14 | 2025-09-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-14 | 2025-09-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-14 | 2025-09-13 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-14 | 2025-09-13 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2025-08-14 | 2025-09-12 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-08-14 | 2025-09-12 | 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 | 2025-08-14 | 2025-09-11 | 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 | 2025-08-14 | 2025-09-11 | N |
| Use approved construction type or materials. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| Construct fire resistant interior walls. | Fire Safety | 2025-08-14 | 2025-09-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2025-08-14 | 2025-08-22 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2025-08-14 | 2025-08-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-08-22 | 2024-09-27 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-08-22 | 2024-09-22 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-08-22 | 2024-09-22 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-08-22 | 2024-09-22 | N |
| Use approved construction type or materials. | Fire Safety | 2024-08-22 | 2024-09-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-08-22 | 2024-09-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-08-22 | 2024-09-13 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-08-22 | 2024-09-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-08-22 | 2024-09-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-08-22 | 2024-09-12 | 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 | 2024-08-22 | 2024-09-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-08-22 | 2024-09-12 | 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 | 2024-08-22 | 2024-09-12 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-08-22 | 2024-09-12 | N |
| Post nurse staffing information every day. | Health | 2024-08-22 | 2024-09-12 | 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 | 2024-08-22 | 2024-09-12 | 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 | 2024-08-22 | 2024-09-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-22 | 2024-09-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-09-12 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2024-08-22 | 2024-09-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2024-08-22 | 2024-09-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2024-08-22 | 2024-09-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-08-22 | 2024-09-12 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-08-22 | 2024-09-12 | 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 | 2024-08-22 | 2024-09-11 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-08-22 | 2024-09-09 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2024-05-20 | 2024-05-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-03-14 | 2024-04-12 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-03-14 | 2024-04-12 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-03-14 | 2024-04-12 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-10-30 | 2023-12-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-30 | 2023-11-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-30 | 2023-11-22 | 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 | 2023-10-30 | 2023-11-22 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-10-30 | 2023-11-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-30 | 2023-11-22 | 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 | 2023-10-30 | 2023-11-22 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-30 | 2023-11-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-30 | 2023-11-22 | 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 | 2023-10-30 | 2023-11-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-30 | 2023-11-22 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-10-30 | 2023-11-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-10-30 | 2023-11-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-30 | 2023-11-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-10-30 | 2023-11-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-30 | 2023-11-14 | 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 | 2023-10-30 | 2023-11-14 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-10-30 | 2023-11-10 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-10-30 | 2023-11-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-30 | 2023-11-09 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-10-30 | 2023-11-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-12 | 2023-07-13 | Y |