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Deficiency Records for Ignite Medical Resort Rainbow Boulevard, LLC
A list of the most recent deficiencies for Ignite Medical Resort Rainbow Boulevard, LLC. The list is based on the information provided by CMS from both standard inspections and from complaints filed by residents.
A list of the most recent deficiencies for Ignite Medical Resort Rainbow Boulevard, LLC. 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 appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-03-19 | 2025-04-15 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-12-02 | 2024-12-20 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2024-10-22 | 2024-12-04 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2024-10-22 | 2024-12-04 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2024-10-22 | 2024-12-03 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-10-22 | 2024-12-03 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-10-22 | 2024-12-03 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-10-22 | 2024-11-27 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2024-10-22 | 2024-11-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-10-22 | 2024-11-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-10-22 | 2024-11-27 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-10-22 | 2024-11-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-10-22 | 2024-10-22 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-08-22 | 2024-09-13 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-08-22 | 2024-09-13 | Y |
| 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 | 2024-09-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-22 | 2024-09-13 | Y |
| 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 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | Y |
| Include as part of its infection prevention and control program, mandatory training that includes written standards, policies, and procedures for the program. | Health | 2024-08-22 | 2024-09-13 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2024-08-22 | 2024-09-13 | Y |
| Ensure that staff members are educated on resident rights and facility responsibilities to properly care for its residents. | Health | 2024-08-22 | 2024-09-13 | 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 | 2024-08-22 | 2024-09-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-08-22 | 2024-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-08-22 | 2024-09-13 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-03-21 | 2024-04-25 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2024-03-21 | 2024-04-25 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-03-21 | 2024-04-25 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-10 | 2024-01-24 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-12 | 2023-10-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-09-12 | 2023-10-05 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-09-12 | 2023-10-05 | Y |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-08 | 2023-08-23 | Y |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-02-08 | 2023-03-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-02-08 | Y |
| 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 | 2023-01-05 | 2023-02-08 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-05 | 2023-02-08 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2023-01-05 | 2023-02-08 | 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 | 2023-01-05 | 2023-02-08 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-01-05 | 2023-02-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-01-05 | 2023-02-08 | Y |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2023-01-05 | 2023-02-08 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Establish emergency prep training and testing. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-08-04 | 2021-08-26 | 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 | 2021-08-04 | 2021-08-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-08-04 | 2021-08-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-07-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-09 | 2021-07-27 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-07-09 | 2021-07-27 | N |
| Provide appropriate foot care. | Health | 2021-07-09 | 2021-07-27 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-07-09 | 2021-07-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-09 | 2021-07-27 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-09 | 2021-07-27 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-07-09 | 2021-07-27 | 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 | 2021-07-09 | 2021-07-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-09 | 2021-07-27 | N |
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