Deficiency Records for Pilgrim Rehabilitation and Skilled Nursing Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Pilgrim Rehabilitation and Skilled Nursing 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-02-29 | 2024-03-13 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-17 | 2023-02-10 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-05 | 2023-01-30 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-05 | 2023-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-01-05 | 2023-01-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-05 | 2023-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-01-05 | 2023-01-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-01-05 | 2023-01-30 | N |
| Provide or obtain dental services for each resident. | Health | 2023-01-05 | 2023-01-30 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-01-05 | 2023-01-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-01-05 | 2023-01-30 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-08-23 | 2022-08-23 | Y |
| Provide and implement an infection prevention and control program. | Health | 2022-01-18 | 2022-01-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-05 | 2021-12-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-10-18 | 2021-11-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-18 | 2021-11-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-10-18 | 2021-11-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-10-18 | 2021-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-10-18 | 2021-11-19 | 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 | 2021-10-18 | 2021-11-19 | N |
| Provide or obtain dental services for each resident. | Health | 2021-10-18 | 2021-11-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-18 | 2021-11-19 | N |
