Deficiency Records for Nottingham Health and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Nottingham Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2022-11-16 | 2022-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-16 | 2022-11-23 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-11-16 | 2022-11-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-11-16 | 2022-11-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-16 | 2022-11-23 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2022-11-16 | 2022-11-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-11-16 | 2022-11-23 | 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 | 2022-10-04 | 2022-11-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-10-04 | 2022-11-04 | 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 | 2022-10-04 | 2022-11-04 | 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 | 2022-02-10 | 2022-02-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-23 | 2021-08-13 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-20 | 2021-06-09 | 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 | 2021-05-20 | 2021-06-09 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-05-20 | 2021-06-09 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-05-20 | 2021-06-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-20 | 2021-06-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-09 | 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 | 2021-05-20 | 2021-06-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-09 | Y |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-08-13 | 2019-08-20 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-13 | 2019-08-20 | N |
