Deficiency Records for Doctors Community Rehabilitation and Patient Care
Updated as of April 01, 2024
A list of the most recent deficiencies for Doctors Community Rehabilitation and Patient Care. 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-04 | 2024-01-18 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-12-04 | 2024-01-18 | Y |
| Assess the resident when there is a significant change in condition | Health | 2023-12-04 | 2024-01-18 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-12-04 | 2024-01-18 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-04 | 2024-01-18 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-04 | 2024-01-18 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2023-12-04 | 2024-01-18 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-04-26 | 2019-06-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-26 | 2019-06-10 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-26 | 2019-06-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-04-22 | 2019-06-07 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-04-22 | 2019-06-07 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-04-22 | 2019-06-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-12-14 | 2018-01-28 | 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 | 2017-12-14 | 2018-01-28 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2017-12-14 | 2018-01-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-12-14 | 2018-01-28 | 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 | 2017-12-14 | 2018-01-28 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2017-12-14 | 2018-01-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-14 | 2018-01-28 | N |
| Have policies and procedures ensuring the administrator's responsibilities for facility closure are completed successfully. | Health | 2017-12-14 | 2018-01-28 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-10-27 | 2016-12-12 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-27 | 2016-12-12 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-10-27 | 2016-12-12 | N |
| Properly constructed piped-in oxygen systems. | Fire Safety | 2016-10-27 | 2016-12-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-08-18 | 2016-10-02 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-08-18 | 2016-10-02 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-08-18 | 2016-10-02 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-08-18 | 2016-10-02 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-08-18 | 2016-10-02 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-08-18 | 2016-10-02 | N |
| Keep all essential equipment working safely. | Health | 2016-08-18 | 2016-10-02 | N |
