CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Caroline Nursing and Rehab
View the most recent health deficiencies and inspection results for Caroline Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Caroline Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2026-03-13 | 2026-04-15 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-10-29 | 2025-12-02 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-10-29 | 2025-12-02 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-10-29 | 2025-12-02 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-10-29 | 2025-12-02 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2025-06-27 | 2025-07-29 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-06-27 | 2025-07-29 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2025-06-27 | 2025-07-29 | Y |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2025-06-27 | 2025-07-29 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-06-27 | 2025-07-29 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2025-06-27 | 2025-07-29 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-11-22 | 2025-03-19 | 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 | 2024-11-22 | 2025-03-19 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-11-22 | 2025-03-19 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-11-22 | 2025-03-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-11-22 | 2025-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-11-22 | 2025-03-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-11-22 | 2025-03-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2024-11-22 | 2025-03-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-11-22 | 2025-02-19 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-11-22 | 2025-02-19 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-11-22 | 2025-02-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-11-22 | 2025-02-10 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-11-22 | 2025-02-10 | 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 | 2024-11-22 | 2025-02-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-11-22 | 2025-02-10 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-11-22 | 2025-02-10 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-11-22 | 2025-02-10 | N |
| Meet other general requirements. | Fire Safety | 2024-11-22 | 2025-02-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2024-11-22 | 2025-02-10 | 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 | 2024-11-22 | 2025-01-17 | N |
| Provide activities to meet all resident's needs. | Health | 2024-11-22 | 2025-01-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-22 | 2025-01-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-11-22 | 2025-01-17 | 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 | 2024-11-22 | 2025-01-17 | 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 | 2024-11-22 | 2025-01-17 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-22 | 2025-01-17 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-11-22 | 2025-01-17 | 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 | 2024-11-22 | 2025-01-17 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2024-11-22 | 2025-01-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-11-22 | 2025-01-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-11-22 | 2025-01-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-11-22 | 2025-01-17 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-11-22 | 2025-01-17 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-11-22 | 2025-01-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-11-22 | 2025-01-17 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-22 | 2025-01-17 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2024-11-22 | 2025-01-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-10-11 | 2020-01-15 | 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 | 2019-10-11 | 2020-01-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-11 | 2020-01-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-10-11 | 2019-11-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-10-11 | 2019-11-20 | 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 | 2019-10-11 | 2019-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-11 | 2019-11-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-10-11 | 2019-11-20 | N |
| Provide activities to meet all resident's needs. | Health | 2019-10-11 | 2019-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-11 | 2019-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-11 | 2019-11-20 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-10-11 | 2019-11-20 | N |
| Respond appropriately to all alleged violations. | Health | 2019-10-11 | 2019-11-20 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-10-11 | 2019-11-20 | 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 | 2018-05-18 | 2018-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-05-18 | 2018-07-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-05-18 | 2018-07-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-05-18 | 2018-07-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-05-18 | 2018-07-13 | 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 | 2018-05-18 | 2018-07-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2018-05-18 | 2018-07-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-05-18 | 2018-07-13 | N |