CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Hadley Pointe Nursing Rehab and Care
View the most recent health deficiencies and inspection results for Hadley Pointe Nursing Rehab and Care. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Hadley Pointe Nursing Rehab and Care. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2026-01-20 | 2026-02-20 | Y |
| Ensure the transfer/discharge meets the resident's needs/preferences and that the resident is prepared for a safe transfer/discharge. | Health | 2026-01-20 | 2026-02-20 | Y |
| 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 | 2025-11-14 | 2025-11-18 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-09-16 | 2025-10-25 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-09-16 | 2025-10-25 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-09-16 | 2025-10-25 | Y |
| Respond appropriately to all alleged violations. | Health | 2025-09-16 | 2025-10-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-09-16 | 2025-10-25 | Y |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2025-09-16 | 2025-10-25 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2025-06-11 | 2025-07-07 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2025-01-17 | 2025-03-25 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2025-01-17 | 2025-03-25 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-01-17 | 2025-03-25 | 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 | 2025-01-17 | 2025-03-25 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2025-01-22 | 2025-03-14 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2025-01-17 | 2025-03-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-01-17 | 2025-03-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2025-01-17 | 2025-03-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-01-17 | 2025-03-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2025-01-17 | 2025-03-05 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2025-01-17 | 2025-03-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-01-17 | 2025-03-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-01-17 | 2025-03-05 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2025-01-17 | 2025-03-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2025-01-17 | 2025-02-27 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2025-01-17 | 2025-02-27 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-01-17 | 2025-02-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2025-01-17 | 2025-02-20 | N |
| Have an agreement with at least one or more hospitals certified by Medicare or Medicaid to make sure residents can be moved quickly to the hospital when they need medical care. | Health | 2025-01-17 | 2025-02-20 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2025-01-17 | 2025-02-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-01-17 | 2025-02-20 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-01-17 | 2025-02-20 | 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 | 2025-01-17 | 2025-02-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-01-22 | 2025-02-20 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2025-01-17 | 2025-02-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-01-22 | 2025-02-20 | Y |
| 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 | 2025-01-17 | 2025-02-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-01-17 | 2025-02-20 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2025-01-17 | 2025-02-20 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-01-17 | 2025-02-20 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-01-17 | 2025-02-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-12 | 2024-11-30 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-08-22 | 2024-10-04 | Y |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2023-11-02 | 2023-12-27 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-11-02 | 2023-12-27 | 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 | 2023-11-02 | 2023-12-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-11-02 | 2023-12-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-02 | 2023-12-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-11-02 | 2023-12-27 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-11-02 | 2023-12-27 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-11-02 | 2023-12-27 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-11-02 | 2023-12-14 | 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 | 2023-11-02 | 2023-12-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-11-02 | 2023-12-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-11-02 | 2023-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-02 | 2023-12-14 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-11-02 | 2023-12-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-05 | 2022-06-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-04-05 | 2022-06-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-04-05 | 2022-05-24 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-04-05 | 2022-05-24 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-05 | 2022-05-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-04-05 | 2022-05-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-04-05 | 2022-05-13 | 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 | 2022-04-05 | 2022-05-13 | 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 | 2022-04-05 | 2022-05-13 | N |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2022-04-05 | 2022-05-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-04-05 | 2022-05-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2022-04-05 | 2022-05-05 | N |