Deficiency Records for Hellenic Nursing and Rehabilitation Center
Updated as of September 01, 2021
This is not the most recent data for Hellenic Nursing and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Hellenic Nursing and Rehabilitation 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 food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-05-06 | 2021-07-09 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-05-06 | 2021-07-08 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-05-06 | 2021-07-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-05-06 | 2021-07-08 | 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 | 2021-05-06 | 2021-07-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-05-06 | 2021-07-08 | 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 | 2021-05-06 | 2021-07-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2021-05-06 | 2021-06-23 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-05-06 | 2021-06-18 | N |
| Regularly inspect all bed frames, mattresses, and bed rails (if any) for safety; and all bed rails and mattresses must attach safely to the bed frame. | Health | 2021-05-06 | 2021-06-18 | N |
| Ensure that the facility has sufficient staff members who possess the competencies and skills to meet the behavioral health needs of residents. | Health | 2021-05-06 | 2021-06-01 | 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 | 2021-05-06 | 2021-05-28 | 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 | 2021-05-06 | 2021-05-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-05-06 | 2021-05-21 | 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 | 2021-05-06 | 2021-05-20 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-06 | 2021-05-14 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-05-06 | 2021-05-11 | 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 | 2021-05-06 | 2021-05-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-06 | 2021-05-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-06 | 2021-05-11 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies. | Health | 2021-05-06 | 2021-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-05-06 | 2021-05-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2021-05-06 | 2021-05-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-06 | 2021-05-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-06 | 2021-05-07 | 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 | 2021-05-06 | 2021-05-07 | N |
| Keep all essential equipment working safely. | Health | 2021-05-06 | 2021-05-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-13 | 2020-08-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-19 | 2020-01-20 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-12-19 | 2020-01-10 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-12-19 | 2020-01-10 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-19 | 2020-01-07 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-19 | 2019-12-31 | 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 | 2019-12-19 | 2019-12-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-12-19 | 2019-12-27 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-12-19 | 2019-12-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-19 | 2019-12-19 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-15 | 2019-10-23 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-10-15 | 2019-10-21 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-15 | 2019-10-21 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-10-15 | 2019-10-18 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-15 | 2019-10-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-15 | 2019-10-18 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-10-15 | 2019-10-18 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-15 | 2019-10-18 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-10-15 | 2019-10-17 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-10-15 | 2019-10-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-15 | 2019-10-17 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2018-11-30 | 2019-01-16 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2018-11-30 | 2019-01-02 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-11-30 | 2018-12-20 | Y |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-10-11 | 2018-11-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-10-11 | 2018-11-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2018-10-11 | 2018-11-16 | 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 | 2018-10-11 | 2018-11-01 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2018-10-11 | 2018-10-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-10-11 | 2018-10-27 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-10-11 | 2018-10-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-10-11 | 2018-10-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-10-11 | 2018-10-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-10-11 | 2018-10-15 | N |
