A list of the most recent deficiencies for Ramsey Village. 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 timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-07-20 | 2023-08-11 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-07-20 | 2023-08-11 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-07-20 | 2023-08-11 | 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 | 2023-07-20 | 2023-08-11 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-07-20 | 2023-08-11 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-20 | 2023-08-11 | 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 | 2023-07-20 | 2023-08-11 | 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 | 2023-07-20 | 2023-08-11 | N |
Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-07-18 | 2023-08-11 | N |
Conduct testing and exercise requirements. | Fire Safety | 2023-07-18 | 2023-08-04 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-18 | 2023-08-02 | N |
Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-18 | 2023-08-01 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2023-07-18 | 2023-08-01 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-18 | 2023-08-01 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-07-18 | 2023-08-01 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-15 | 2022-07-19 | N |
Develop a communication plan. | Fire Safety | 2022-06-15 | 2022-07-19 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-06-15 | 2022-07-15 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-06-15 | 2022-07-15 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-06-15 | 2022-07-15 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-06-15 | 2022-07-15 | Y |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-06-15 | 2022-07-15 | Y |
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 | 2022-06-15 | 2022-07-15 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-15 | 2022-07-15 | 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 | 2022-06-15 | 2022-07-15 | 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 | 2022-06-15 | 2022-07-15 | Y |
Meet requirements for the use of electrical equipment. | Fire Safety | 2022-06-15 | 2022-07-15 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-06-15 | 2022-06-27 | N |
Provide a written emergency evacuation plan. | Fire Safety | 2022-06-15 | 2022-06-27 | N |
Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-15 | 2022-06-24 | N |
Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-06-15 | 2022-06-24 | N |
Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-06-15 | 2022-06-24 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-06-15 | 2022-06-23 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-06-15 | 2022-06-22 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-06-15 | 2022-06-22 | N |
Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2022-06-15 | 2022-06-20 | 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 | 2022-06-15 | 2022-06-17 | N |
Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2021-02-23 | 2021-03-23 | N |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-02-23 | 2021-03-23 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-02-23 | 2021-03-23 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-02-23 | 2021-03-23 | N |
Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-02-23 | 2021-03-23 | 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 | 2021-02-23 | 2021-03-23 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-02-23 | 2021-03-23 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2021-02-23 | 2021-03-23 | N |
Provide and implement an infection prevention and control program. | Health | 2021-02-23 | 2021-03-23 | N |
Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-02-18 | 2021-03-05 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-02-18 | 2021-03-05 | N |
Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-02-18 | 2021-02-25 | 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 | 2021-02-18 | 2021-02-24 | N |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-04-27 | Not Fixed | Y |