A list of the most recent deficiencies for Anew 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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2023-09-06 | 2023-09-20 | 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 | 2023-09-06 | 2023-09-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-09-06 | 2023-09-20 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2023-07-27 | 2023-08-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-27 | 2023-08-25 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-27 | 2023-08-25 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-07-27 | 2023-08-25 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-07-27 | 2023-08-25 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-07-27 | 2023-08-25 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-07-27 | 2023-08-25 | Y |
| 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 | 2023-07-27 | 2023-08-25 | Y |
| 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 | 2023-07-27 | 2023-08-25 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-08-09 | 2023-08-11 | Y |
| 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 | 2022-01-25 | 2022-02-18 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-01-25 | 2022-02-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-12-27 | 2022-01-14 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-12-27 | 2022-01-14 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-12-27 | 2022-01-14 | 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 | 2021-12-27 | 2022-01-14 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2021-12-27 | 2022-01-14 | 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 | 2021-12-27 | 2022-01-14 | 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 | 2022-01-13 | 2022-01-14 | Y |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2021-10-07 | 2021-10-25 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-07 | 2021-10-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-08-24 | 2021-09-24 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-08-24 | 2021-09-24 | 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 | 2020-02-17 | 2020-05-01 | 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 | 2020-02-17 | 2020-05-01 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-02-17 | 2020-05-01 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-01-24 | 2020-02-24 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-05-03 | Not Fixed | N |
