A list of the most recent deficiencies for Regalcare at Lowell. 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? |
---|---|---|---|---|
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-05-31 | 2023-06-30 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-31 | 2023-06-30 | Y |
Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-31 | 2023-06-30 | Y |
Provide specialized rehabilitative services by qualified personnel, when ordered for a resident by a doctor. | Health | 2023-05-31 | 2023-06-30 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-31 | 2023-06-30 | Y |
Have exits that are accessible at all times. | Fire Safety | 2023-02-27 | 2023-03-31 | 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 | 2023-02-27 | 2023-03-31 | N |
Provide properly protected cooking facilities. | Fire Safety | 2023-02-27 | 2023-03-31 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-27 | 2023-03-31 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-27 | 2023-03-31 | N |
Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-02-27 | 2023-03-31 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2023-02-27 | 2023-03-31 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-02-27 | 2023-03-31 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-03-06 | 2023-03-16 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-03-06 | 2023-03-16 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-02-16 | 2023-03-08 | 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 | 2023-02-16 | 2023-03-08 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-02-16 | 2023-03-08 | 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 | 2023-02-16 | 2023-03-08 | 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 | 2023-02-16 | 2023-03-08 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-02-16 | 2023-03-08 | N |
Ensure each resident receives an accurate assessment. | Health | 2023-02-16 | 2023-03-08 | N |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-02-16 | 2023-03-08 | 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 | 2023-02-16 | 2023-03-08 | N |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-02-16 | 2023-03-08 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-16 | 2023-03-08 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2023-02-16 | 2023-03-08 | 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 | 2023-02-16 | 2023-03-08 | 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 | 2023-02-16 | 2023-03-08 | N |
Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2023-02-16 | 2023-03-08 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-02-16 | 2023-03-08 | N |
Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-02-16 | 2023-03-08 | N |
Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-02-16 | 2023-03-08 | N |
Provide and implement an infection prevention and control program. | Health | 2022-02-16 | 2022-02-25 | N |
Report COVID19 data to residents and families. | Health | 2022-02-16 | 2022-02-25 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-10-18 | 2021-12-27 | Y |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-10-18 | 2021-12-27 | Y |
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-07-07 | 2021-10-15 | 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 | 2021-07-07 | 2021-10-01 | N |
Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-07-07 | 2021-10-01 | N |
Assist a resident in gaining access to vision and hearing services. | Health | 2021-07-07 | 2021-10-01 | N |
Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-07-07 | 2021-10-01 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-07 | 2021-08-06 | N |
Reasonably accommodate the needs and preferences of each resident. | Health | 2021-07-07 | 2021-08-06 | N |
Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2021-07-07 | 2021-08-06 | N |
Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-07-07 | 2021-08-06 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2021-07-07 | 2021-08-06 | N |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-07 | 2021-08-06 | N |
Provide enough food/fluids to maintain a resident's health. | Health | 2021-07-07 | 2021-08-06 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-07-07 | 2021-08-06 | N |
Provide and implement an infection prevention and control program. | Health | 2021-07-07 | 2021-08-06 | 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 | 2021-07-19 | 2021-08-06 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-19 | 2021-08-06 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2021-07-19 | 2021-08-06 | N |
Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-07-19 | 2021-08-06 | N |
Establish policies and procedures for sheltering. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-09-09 | 2019-10-24 | 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 | 2019-09-09 | 2019-10-24 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Install an approved automatic sprinkler system. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2019-09-09 | 2019-10-24 | N |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-07-12 | 2019-09-09 | N |
Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2019-07-12 | 2019-09-09 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-07-12 | 2019-08-26 | N |
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-12 | 2019-08-26 | N |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-07-12 | 2019-08-26 | N |
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-07-12 | 2019-08-26 | 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 | 2019-07-12 | 2019-08-26 | 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 | 2019-07-12 | 2019-08-26 | N |
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-07-12 | 2019-08-26 | N |