A list of the most recent deficiencies for Rayville 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? |
|---|---|---|---|---|
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-08-23 | 2023-09-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-23 | 2023-09-29 | 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 | 2023-08-23 | 2023-09-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-08-23 | 2023-09-29 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-08-23 | 2023-09-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-23 | 2023-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-23 | 2023-09-29 | 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 | 2023-08-22 | 2023-09-29 | 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 | 2023-08-22 | 2023-09-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-08-22 | 2023-09-29 | 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 | 2022-08-12 | 2022-09-10 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2022-08-12 | 2022-09-10 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-08-12 | 2022-09-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-12 | 2022-09-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-08-12 | 2022-09-10 | 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 | 2022-08-12 | 2022-09-10 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-08-12 | 2022-09-10 | 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 | 2022-08-12 | 2022-09-10 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-08-12 | 2022-09-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-08-12 | 2022-09-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-12 | 2022-09-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2022-08-12 | 2022-09-10 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-08-12 | 2022-09-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-12 | 2022-09-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-09-30 | 2021-10-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-30 | 2021-10-29 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-09-28 | 2021-10-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-24 | 2021-10-08 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-08-24 | 2021-10-08 | 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 | 2021-09-28 | 2021-10-07 | N |
