A list of the most recent deficiencies for Carter Nursing 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-07-17 | 2023-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-07-17 | 2023-08-10 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-17 | 2023-08-08 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-07-17 | 2023-08-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-07-17 | 2023-08-08 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2023-07-17 | 2023-08-08 | 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 | 2023-07-17 | 2023-08-06 | Y |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2023-07-17 | 2023-08-06 | 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 | 2023-07-17 | 2023-08-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-07-17 | 2023-08-06 | 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 | 2023-07-17 | 2023-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-17 | 2023-08-06 | 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 | 2023-07-10 | 2023-08-06 | 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 | 2023-07-10 | 2023-08-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-10 | 2023-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-10 | 2023-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-10 | 2023-08-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-10 | 2023-08-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-07-10 | 2023-08-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-10 | 2023-08-06 | 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 | 2019-11-07 | 2019-12-14 | 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 | 2019-11-06 | 2019-12-06 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2019-11-06 | 2019-12-06 | 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 | 2019-11-06 | 2019-12-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-06 | 2019-12-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-11-06 | 2019-12-06 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2019-11-06 | 2019-12-06 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-10-04 | 2018-11-13 | 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 | 2018-10-04 | 2018-11-13 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2018-10-04 | 2018-11-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-10-04 | 2018-11-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-02 | 2018-11-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2018-10-02 | 2018-11-11 | N |
