Deficiency Records for Natchitoches Nursing and Rehabilitation Center,llc
Updated as of August 01, 2023
This is not the most recent data for Natchitoches Nursing and Rehabilitation Center,llc. For the most recent information, click here.
A list of the most recent deficiencies for Natchitoches Nursing and Rehabilitation Center,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 | 2023-03-29 | 2023-05-01 | Y |
Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-03-29 | 2023-05-01 | Y |
Keep all essential equipment working safely. | Health | 2023-03-29 | 2023-05-01 | Y |
Provide rooms that can be unlocked from inside without a key. | Fire Safety | 2023-01-26 | 2023-02-27 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-26 | 2023-02-27 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-26 | 2023-02-27 | N |
Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-26 | 2023-02-27 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-01-10 | 2023-02-14 | N |
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 | 2023-01-10 | 2023-02-14 | 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 | 2023-01-10 | 2023-02-14 | 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 | 2023-01-10 | 2023-02-14 | N |
Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-01-10 | 2023-02-14 | N |
Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2023-01-10 | 2023-02-14 | N |
Dispose of garbage and refuse properly. | Health | 2023-01-10 | 2023-02-14 | N |
Inform resident or representatives choice to enter into binding arbitration agreement and right to refuse. | Health | 2023-01-10 | 2023-02-14 | N |
Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2023-01-10 | 2023-02-14 | N |
Provide and implement an infection prevention and control program. | Health | 2023-01-10 | 2023-02-14 | N |
Implement a program that monitors antibiotic use. | Health | 2023-01-10 | 2023-02-14 | 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 | 2023-01-10 | 2023-02-14 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-10 | 2023-02-14 | Y |
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-01-10 | 2023-02-14 | Y |
Post nurse staffing information every day. | Health | 2023-01-10 | 2023-02-14 | Y |
Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-27 | 2022-08-22 | Y |
Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-07-27 | 2022-08-22 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-27 | 2022-08-22 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-07-27 | 2022-08-22 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-27 | 2022-08-22 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-07-27 | 2022-08-22 | Y |
Ensure staff are vaccinated for COVID-19 | Health | 2022-07-27 | 2022-08-22 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-01-14 | 2022-02-18 | N |
Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-01-14 | 2022-02-18 | 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 | 2022-01-14 | 2022-02-18 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-01-14 | 2022-02-18 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-14 | 2022-02-18 | N |
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-01-14 | 2022-02-18 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-11 | 2022-01-13 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-11 | 2022-01-12 | N |
Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2021-01-27 | 2021-02-19 | Y |
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-12-12 | 2021-01-12 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-12-12 | 2021-01-12 | Y |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-12-12 | 2021-01-12 | Y |
Report COVID19 data to residents and families. | Health | 2020-12-12 | 2021-01-12 | Y |
Keep all essential equipment working safely. | Health | 2020-12-12 | 2021-01-12 | Y |
Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-01-15 | 2020-01-16 | 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 | 2020-01-15 | 2020-01-16 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-01-15 | 2020-01-16 | N |
Conduct testing and exercise requirements. | Fire Safety | 2020-01-15 | 2020-01-16 | N |
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-31 | Not Fixed | Y |
Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-31 | Not Fixed | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-31 | Not Fixed | Y |
Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-31 | Not Fixed | Y |