Deficiency Records for Gardner Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Gardner Rehabilitation and 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? |
|---|---|---|---|---|
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-01 | 2023-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-01 | 2023-09-08 | 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 | 2023-08-01 | 2023-09-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-08-01 | 2023-09-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-01 | 2023-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-01 | 2023-09-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-01 | 2023-09-08 | 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 | 2023-08-09 | 2023-08-10 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-01-31 | 2022-03-08 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-01-31 | 2022-03-08 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-01-31 | 2022-03-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-01-31 | 2022-03-08 | 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 | 2022-01-31 | 2022-03-08 | 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 | 2022-01-31 | 2022-03-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-01-31 | 2022-03-08 | 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 | 2022-01-31 | 2022-03-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-31 | 2022-03-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-01-31 | 2022-03-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-31 | 2022-03-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-31 | 2022-03-08 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-02-08 | 2022-03-08 | 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 | 2022-02-08 | 2022-03-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Ensure medical gas and vacuum systems have documented maintenance programs. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-02-08 | 2022-03-08 | N |
| Perform COVID19 testing on residents and staff. | Health | 2021-10-25 | 2021-11-01 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-09-15 | 2021-11-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-15 | 2021-11-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-17 | 2019-08-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-17 | 2019-08-26 | 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 | 2019-07-17 | 2019-08-26 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-07-17 | 2019-08-26 | N |
