A list of the most recent deficiencies for Levindale Hebrew Ger Ctr and Hsp. 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 a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-06-08 | 2023-07-14 | 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 | 2023-06-08 | 2023-07-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-08 | 2023-07-14 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-06-08 | 2023-07-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-06-08 | 2023-07-14 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-06-08 | 2023-07-14 | 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 | 2023-06-08 | 2023-07-14 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-08 | 2023-07-14 | Y |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-10 | 2020-02-01 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2020-01-10 | 2020-02-01 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-20 | 2020-01-17 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-11-20 | 2020-01-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-20 | 2020-01-17 | 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 | 2019-11-20 | 2020-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-20 | 2020-01-17 | N |
| Keep all essential equipment working safely. | Health | 2019-11-20 | 2020-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-08-08 | 2018-08-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-08-08 | 2018-08-30 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-08-08 | 2018-08-30 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-08-08 | 2018-08-30 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2018-06-25 | 2018-08-29 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-06-25 | 2018-08-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-06-25 | 2018-08-29 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-06-25 | 2018-08-29 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2018-06-25 | 2018-08-29 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-06-25 | 2018-08-29 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-06-25 | 2018-08-29 | 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 | 2018-06-25 | 2018-08-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-06-25 | 2018-08-29 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-06-25 | 2018-08-29 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-06-25 | 2018-08-29 | N |
| Provide appropriate foot care. | Health | 2018-06-25 | 2018-08-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-06-25 | 2018-08-29 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-06-25 | 2018-08-29 | N |
| 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 | 2018-06-25 | 2018-08-29 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2018-06-25 | 2018-08-29 | N |
| Post nurse staffing information every day. | Health | 2018-06-25 | 2018-08-29 | 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 | 2018-06-25 | 2018-08-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-06-25 | 2018-08-29 | N |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2018-06-25 | 2018-08-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-06-25 | 2018-08-29 | 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 and emergencies. | Health | 2018-06-25 | 2018-08-29 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-06-25 | 2018-08-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-06-25 | 2018-08-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2018-06-25 | 2018-08-29 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-04-03 | 2017-06-01 | 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 | 2017-04-03 | 2017-06-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-04-03 | 2017-06-01 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-04-03 | 2017-06-01 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-04-03 | 2017-06-01 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-03-08 | 2017-05-06 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-03-08 | 2017-05-06 | N |
| Provide activities to meet the interests and needs of each resident. | Health | 2017-03-08 | 2017-05-06 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-08 | 2017-05-06 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-03-08 | 2017-05-06 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-03-08 | 2017-05-06 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-03-08 | 2017-05-06 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-03-08 | 2017-05-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-03-08 | 2017-05-06 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2017-03-08 | 2017-05-06 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-08 | 2017-05-06 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-08 | 2017-05-06 | N |
