Deficiency Records for Pilgrim Rehabilitation and Skilled Nursing Center
Updated as of June 01, 2023
This is not the most recent data for Pilgrim Rehabilitation and Skilled Nursing Center. For the most recent information, click here.
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? |
---|---|---|---|---|
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 |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-01-12 | 2021-02-18 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-01-12 | 2021-02-18 | Y |
Provide and implement an infection prevention and control program. | Health | 2021-01-25 | 2021-02-10 | N |
Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-04-25 | 2019-06-07 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-25 | 2019-06-07 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-25 | 2019-06-07 | N |
Provide activities to meet all resident's needs. | Health | 2019-04-25 | 2019-06-07 | N |
Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-04-25 | 2019-06-07 | 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 | 2019-04-25 | 2019-06-07 | 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 | 2019-04-25 | 2019-06-07 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-06-07 | N |