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Deficiency Records for Atlee Hill Health and Rehab Center
View the most recent health deficiencies and inspection results for Atlee Hill Health and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Atlee Hill Health and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2025-08-29 | 2025-10-31 | 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 | 2025-08-29 | 2025-10-31 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-08-29 | 2025-10-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-08-29 | 2025-09-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-08-29 | 2025-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-08-29 | 2025-09-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-08-29 | 2025-09-26 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-08-29 | 2025-09-26 | N |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2025-08-29 | 2025-09-26 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-08-29 | 2025-09-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-08-29 | 2025-09-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-08-29 | 2025-09-26 | Y |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-08-29 | 2025-09-26 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-08-29 | 2025-09-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-08-29 | 2025-09-26 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-08-29 | 2025-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-08-29 | 2025-09-26 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2025-08-29 | 2025-09-26 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-08-29 | 2025-09-26 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-08-29 | 2025-09-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-08-29 | 2025-09-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-08-29 | 2025-09-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-12-21 | 2024-03-19 | 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 | 2023-12-21 | 2024-03-19 | 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 | 2023-12-21 | 2024-03-19 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2023-12-21 | 2024-03-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-21 | 2024-03-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-21 | 2024-03-19 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-21 | 2024-03-19 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-12-21 | 2024-03-19 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-21 | 2024-03-19 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-12-21 | 2024-03-19 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-21 | 2024-02-14 | 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 | 2023-12-21 | 2024-02-14 | 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 | 2023-12-21 | 2024-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-21 | 2024-02-14 | 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 | 2023-12-21 | 2024-02-14 | N |
| Dispose of garbage and refuse properly. | Health | 2023-12-21 | 2024-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-12-21 | 2024-02-14 | 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 | 2023-12-21 | 2024-02-14 | 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 | 2023-12-21 | 2024-02-14 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-12-21 | 2024-02-14 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-12-21 | 2024-02-14 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2023-12-21 | 2024-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-21 | 2024-02-14 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2023-12-21 | 2024-02-14 | 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 | 2023-12-21 | 2024-02-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-12-21 | 2024-02-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-12-21 | 2024-02-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-21 | 2024-02-14 | 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 | 2023-12-21 | 2024-02-14 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-12-21 | 2024-02-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-12-21 | 2023-02-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2019-04-19 | 2022-01-18 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-04-19 | 2019-06-24 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-04-19 | 2019-06-24 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2019-04-19 | 2019-06-24 | N |
| Post nurse staffing information every day. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Provide or obtain dental services for each resident. | Health | 2019-04-19 | 2019-06-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-19 | 2019-06-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-19 | 2019-06-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-04-19 | 2019-06-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-19 | 2019-06-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-19 | 2019-06-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-19 | 2019-06-24 | N |
| Provide activities to meet all resident's needs. | Health | 2019-04-19 | 2019-06-24 | 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 | 2019-04-19 | 2019-06-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-19 | 2019-06-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-19 | 2019-06-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-19 | 2019-06-24 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-04-19 | 2019-06-24 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2019-04-19 | 2019-06-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-19 | 2019-06-24 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-19 | 2019-06-24 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-04-19 | 2019-06-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-19 | 2019-06-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-19 | 2019-05-08 | N |