A list of the most recent deficiencies for Neodesha Care and Rehab. 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-10 | 2023-01-25 | 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 | 2023-01-10 | 2023-01-25 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-01-10 | 2023-01-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-11-30 | 2022-12-13 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2022-11-30 | 2022-12-13 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-30 | 2022-12-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-04 | 2021-10-05 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-08-16 | 2021-09-17 | 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 | 2021-08-16 | 2021-09-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-08-16 | 2021-09-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-16 | 2021-09-17 | 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 | 2021-06-30 | 2021-07-30 | 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 | 2021-06-30 | 2021-07-30 | 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 | 2021-06-30 | 2021-07-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-30 | 2021-07-30 | 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 | 2021-06-30 | 2021-07-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-30 | 2021-07-30 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-06-30 | 2021-07-30 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-11-18 | 2019-12-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-18 | 2019-12-19 | 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 | 2019-11-18 | 2019-12-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-18 | 2019-12-19 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-18 | 2019-12-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-18 | 2019-12-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-18 | 2019-12-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-18 | 2019-12-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-11-18 | 2019-12-19 | 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 | 2019-09-11 | 2019-10-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-11 | 2019-10-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-09-11 | 2019-10-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-09-11 | 2019-10-15 | 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 | 2019-09-11 | 2019-10-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-09-11 | 2019-10-15 | N |
