Deficiency Records for Hartley Nursing and Rehab
Updated as of April 01, 2019
This is not the most recent data for Hartley Nursing and Rehab. For the most recent information, click here.
A list of the most recent deficiencies for Hartley Nursing and Rehab. 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2018-04-26 | 2018-06-26 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2018-04-26 | 2018-06-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-04-26 | 2018-06-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-04-26 | 2018-06-26 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-04-26 | 2018-06-26 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-04-26 | 2018-06-26 | 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 | 2018-04-26 | 2018-06-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-04-26 | 2018-06-26 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2018-04-26 | 2018-06-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-04-26 | 2018-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-04-26 | 2018-06-26 | 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 | 2018-05-03 | 2018-06-12 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-03 | 2018-05-31 | N |
| Provide housekeeping and maintenance services. | Health | 2017-01-20 | 2017-02-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-01-20 | 2017-02-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-01-20 | 2017-02-10 | N |
| Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%. | Health | 2017-01-20 | 2017-02-10 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2017-01-20 | 2017-02-10 | N |
| Provide or obtain dental services for each resident. | Health | 2017-01-20 | 2017-02-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-01-20 | 2017-02-10 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-01-20 | 2017-02-10 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-01-19 | 2017-02-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-01-19 | 2017-02-01 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2017-01-19 | 2017-02-01 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2017-01-19 | 2017-02-01 | N |
| An approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2015-10-15 | 2015-11-25 | N |
| An approved automatic sprinkler system connected to the fire alarm system. | Fire Safety | 2015-10-15 | 2015-11-25 | N |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2015-10-15 | 2015-11-25 | N |
| Exits that are free from obstructions and can be used at all times. | Fire Safety | 2015-10-15 | 2015-11-25 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2015-10-15 | 2015-11-25 | N |
| Give residents a notice of rights, rules, services and charges. | Health | 2015-10-09 | 2015-11-25 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2015-10-09 | 2015-11-25 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2015-10-09 | 2015-11-25 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2015-10-09 | 2015-11-25 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2015-10-09 | 2015-11-25 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2015-10-09 | 2015-11-25 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2015-10-09 | 2015-11-25 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2015-10-09 | 2015-11-25 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2015-10-09 | 2015-11-25 | N |
| Provide or obtain dental services for each resident. | Health | 2015-10-09 | 2015-11-25 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2015-10-09 | 2015-11-25 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2015-10-09 | 2015-11-25 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2015-10-09 | 2015-11-25 | N |
