CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Carroll Health and Rehab LLC
View the most recent health deficiencies and inspection results for Carroll Health and Rehab LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Carroll Health and Rehab LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-07-28 | 2025-09-01 | 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 | 2025-07-28 | 2025-09-01 | Y |
| 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 | 2025-07-28 | 2025-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-28 | 2025-09-01 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-07-28 | 2025-09-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-28 | 2025-09-01 | Y |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2025-07-28 | 2025-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-07-28 | 2025-09-01 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2025-07-28 | 2025-09-01 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2025-07-28 | 2025-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-07-28 | 2025-09-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-28 | 2025-09-01 | 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 | 2025-07-28 | 2025-09-01 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-07-28 | 2025-09-01 | 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 | 2025-07-28 | 2025-09-01 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2025-07-28 | 2025-09-01 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2025-07-28 | 2025-09-01 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-28 | 2025-09-01 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-28 | 2025-09-01 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-04-11 | 2025-05-16 | Y |
| Have policies on smoking. | Health | 2025-01-29 | 2025-03-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-29 | 2025-03-13 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-01-29 | 2025-03-13 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-01-29 | 2025-03-13 | 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 | 2024-11-12 | 2024-12-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-12 | 2024-12-27 | 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 | 2024-11-12 | 2024-12-27 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-11-12 | 2024-12-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-10-09 | 2024-11-08 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-09-17 | 2024-11-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-09-17 | 2024-11-01 | Y |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2024-09-17 | 2024-11-01 | 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 | 2024-06-26 | 2024-08-10 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2024-06-26 | 2024-08-10 | N |
| Verify that a nurse aide has been trained; and if they haven't worked as a nurse aide for 2 years, receive retraining. | Health | 2024-06-26 | 2024-08-10 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2024-06-26 | 2024-08-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-06-26 | 2024-08-10 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2024-06-26 | 2024-08-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-06-26 | 2024-08-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2024-06-26 | 2024-08-10 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-06-26 | 2024-08-10 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2024-06-26 | 2024-08-10 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2024-06-26 | 2024-08-10 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-06-26 | 2024-08-10 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-06-26 | 2024-08-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-06-26 | 2024-08-10 | N |
| Respond appropriately to all alleged violations. | Health | 2024-06-26 | 2024-08-10 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-06-26 | 2024-08-10 | 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 | 2024-06-26 | 2024-08-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2024-06-26 | 2024-08-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-06-26 | 2024-08-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-06-26 | 2024-08-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-07-26 | 2023-08-22 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-07-26 | 2023-08-22 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-07-26 | 2023-08-22 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-07-28 | Not Fixed | N |