Deficiency Records for Adelphi Nursing and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Adelphi Nursing and Rehabilitation Center. 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? |
|---|---|---|---|---|
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2023-10-24 | 2023-12-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-10-24 | 2023-12-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-24 | 2023-12-04 | 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 | 2023-10-24 | 2023-12-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-10-24 | 2023-12-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-10-24 | 2023-12-04 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-10-24 | 2023-12-04 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-10-24 | 2023-12-04 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-10-24 | 2023-12-04 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2023-10-24 | 2023-12-04 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-24 | 2023-12-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-24 | 2023-12-04 | Y |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-10-24 | 2023-12-04 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-10-24 | 2023-12-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-24 | 2023-12-04 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-10-24 | 2023-12-04 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-10-24 | 2023-12-04 | 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 | 2023-10-24 | 2023-12-04 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-10-24 | 2023-12-04 | Y |
| Help the resident with transportation to and from laboratory services outside of the facility. | Health | 2023-10-24 | 2023-12-04 | Y |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-24 | 2023-12-04 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-24 | 2023-12-04 | Y |
| Dispose of garbage and refuse properly. | Health | 2023-10-24 | 2023-12-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-10-24 | 2023-12-04 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-10-24 | 2023-12-04 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-07 | 2023-11-09 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-09-07 | 2023-10-26 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-09-07 | 2023-10-26 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-07 | 2023-10-26 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-07 | 2023-10-26 | 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 | 2021-10-19 | 2021-11-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-10-19 | 2021-11-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-10-19 | 2021-11-20 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-03-31 | 2021-04-27 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2021-03-31 | 2021-04-27 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-03-31 | 2021-04-27 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2021-03-31 | 2021-04-27 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-03-31 | 2021-04-27 | Y |
| Perform COVID19 testing on residents and staff. | Health | 2021-03-31 | 2021-04-27 | Y |
| Keep all essential equipment working safely. | Health | 2021-03-31 | 2021-04-27 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2020-08-27 | 2020-10-02 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2020-08-27 | 2020-09-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-08-27 | 2020-09-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-27 | 2020-09-16 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-08-27 | 2020-09-16 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-08-27 | 2020-09-16 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2020-03-18 | 2020-06-18 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2020-03-18 | 2020-06-18 | 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 | 2020-03-18 | 2020-06-18 | 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 | 2020-03-18 | 2020-06-18 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-18 | 2020-06-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2020-03-18 | 2020-06-18 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-03-18 | 2020-06-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-03-18 | 2020-06-18 | 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 | 2020-03-18 | 2020-06-18 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-03-18 | 2020-06-18 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-03-18 | 2020-06-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-18 | 2020-06-18 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-03-18 | 2020-06-18 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2020-03-18 | 2020-06-18 | N |
| Post nurse staffing information every day. | Health | 2020-03-18 | 2020-06-18 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2020-03-18 | 2020-06-18 | 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 | 2020-03-18 | 2020-06-18 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2020-03-18 | 2020-06-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-18 | 2020-06-18 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2020-03-18 | 2020-06-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-18 | 2020-06-18 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2020-03-18 | 2020-06-18 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-11-21 | 2018-12-28 | 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 | 2018-11-21 | 2018-12-28 | 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 | 2018-11-21 | 2018-12-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-21 | 2018-12-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-20 | 2018-12-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2018-11-20 | 2018-12-21 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2017-08-03 | 2017-09-14 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-08-03 | 2017-09-14 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-08-03 | 2017-09-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-08-03 | 2017-09-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-03 | 2017-09-14 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2017-07-26 | 2017-09-06 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2017-07-26 | 2017-09-06 | N |
