Deficiency Records for Plymouth Rehabilitation and Health Care Center
Updated as of May 01, 2020
This is not the most recent data for Plymouth Rehabilitation and Health Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Plymouth Rehabilitation and Health Care 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-28 | 2019-10-07 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-09 | 2019-08-09 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-25 | 2019-07-24 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-04-25 | 2019-07-24 | 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 | 2019-04-25 | 2019-07-24 | N |
| Provide appropriate foot care. | Health | 2019-04-25 | 2019-07-24 | 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 ne | Health | 2019-04-25 | 2019-07-24 | N |
| 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 | 2019-04-25 | 2019-07-24 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-25 | 2019-07-24 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-04-25 | 2019-07-24 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-05-22 | 2019-06-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-05-22 | 2019-06-14 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-22 | 2019-06-07 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-22 | 2019-06-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-05-22 | 2019-06-07 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-22 | 2019-06-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-25 | 2019-05-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-04-25 | 2019-05-24 | 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 | 2019-04-25 | 2019-05-24 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2019-04-25 | 2019-05-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-25 | 2019-05-24 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-25 | 2019-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-25 | 2019-05-24 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-25 | 2019-05-24 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2019-04-25 | 2019-05-24 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-25 | 2019-05-24 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2019-04-25 | 2019-05-24 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-02-25 | 2019-04-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-02-25 | 2019-04-04 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-02-25 | 2019-04-04 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-12-03 | 2019-01-04 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-03 | 2019-01-04 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-12-03 | 2019-01-04 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-03 | 2019-01-04 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2018-12-03 | 2019-01-04 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2018-12-03 | 2019-01-04 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-12-03 | 2019-01-04 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-12-03 | 2019-01-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-20 | 2018-08-29 | Y |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2018-01-08 | 2018-04-06 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-01-08 | 2018-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-01-08 | 2018-02-22 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2018-01-08 | 2018-02-22 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-01-08 | 2018-02-22 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2018-01-08 | 2018-02-22 | 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 | 2018-01-08 | 2018-02-22 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-08 | 2018-02-22 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2018-01-08 | 2018-02-22 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-01-08 | 2018-02-22 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-08 | 2018-02-22 | N |
| Respond appropriately to all alleged violations. | Health | 2018-01-08 | 2018-02-22 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-01-08 | 2018-02-22 | 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 | 2018-01-08 | 2018-02-22 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-01-08 | 2018-02-22 | N |
| Assess the resident when there is a significant change in condition | Health | 2018-01-08 | 2018-02-22 | 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 | 2018-01-08 | 2018-02-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-01-08 | 2018-02-22 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-01-08 | 2018-02-22 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-01-08 | 2018-02-22 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-01-08 | 2018-02-22 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-01-08 | 2018-02-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-01-08 | 2018-02-22 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-01-08 | 2018-02-22 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-01-08 | 2018-02-22 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2017-10-03 | 2017-12-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-10-03 | 2017-12-09 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-09-22 | 2016-11-06 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-09-22 | 2016-11-06 | N |
| Provide or obtain laboratory services only when ordered by the attending physician. | Health | 2016-09-22 | 2016-11-06 | N |
