Deficiency Records for Medford Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Medford 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-25 | 2023-06-26 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-05-25 | 2023-06-26 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-05-25 | 2023-06-26 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-05-25 | 2023-06-26 | N |
| Respond appropriately to all alleged violations. | Health | 2023-05-25 | 2023-06-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-05-25 | 2023-06-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-25 | 2023-06-26 | 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 | 2023-05-25 | 2023-06-26 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-25 | 2023-06-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-05-25 | 2023-06-26 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-25 | 2023-06-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-05-25 | 2023-06-26 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-05-25 | 2023-06-26 | 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 | 2023-05-25 | 2023-06-26 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2023-05-25 | 2023-06-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-25 | 2023-06-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-02 | 2023-06-24 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-06-02 | 2023-06-24 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2023-06-02 | 2023-06-24 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-10-12 | 2022-12-01 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-10-12 | 2022-12-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-12 | 2022-12-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-16 | 2022-11-10 | Y |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-07-18 | 2022-08-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-07-18 | 2022-08-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-07-05 | 2022-08-08 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-07-05 | 2022-07-25 | 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 | 2022-07-05 | 2022-07-25 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-07-05 | 2022-07-25 | N |
| Respond appropriately to all alleged violations. | Health | 2022-07-05 | 2022-07-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-07-05 | 2022-07-25 | 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 | 2022-07-05 | 2022-07-25 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-07-05 | 2022-07-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-05 | 2022-07-25 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-07-05 | 2022-07-25 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2022-07-05 | 2022-07-25 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-07-05 | 2022-07-25 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-07-05 | 2022-07-25 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-07-05 | 2022-07-25 | 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 | 2022-07-05 | 2022-07-25 | N |
| Provide or obtain dental services for each resident. | Health | 2022-07-05 | 2022-07-25 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-07-05 | 2022-07-25 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-07-05 | 2022-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-07-05 | 2022-07-22 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-07-05 | 2022-07-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-03 | 2022-02-20 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-19 | 2021-12-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-10-06 | 2021-11-30 | Y |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-05-28 | 2021-08-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-05-28 | 2021-07-12 | 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 | 2021-05-28 | 2021-07-12 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-05-28 | 2021-07-12 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-27 | 2021-06-08 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2021-04-27 | 2021-06-08 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2021-04-27 | 2021-06-08 | 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 | 2021-04-27 | 2021-06-08 | 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 | 2021-04-27 | 2021-06-08 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2021-04-27 | 2021-06-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-27 | 2021-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-27 | 2021-06-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-27 | 2021-06-08 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-27 | 2021-06-08 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide appropriate foot care. | Health | 2021-04-27 | 2021-06-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-04-27 | 2021-06-08 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-04-27 | 2021-06-08 | 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 | 2021-04-27 | 2021-06-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-04-27 | 2021-06-08 | 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 | 2021-04-27 | 2021-06-08 | N |
| Provide or obtain dental services for each resident. | Health | 2021-04-27 | 2021-06-08 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-04-27 | 2021-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-27 | 2021-06-08 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-27 | 2021-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-27 | 2021-06-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-04-27 | 2021-06-08 | N |
| Keep all essential equipment working safely. | Health | 2021-04-27 | 2021-06-08 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2021-04-27 | 2021-06-08 | N |
