Deficiency Records for Holt Senior Care and Rehab Center, L L C
Updated as of April 01, 2024
A list of the most recent deficiencies for Holt Senior Care and Rehab Center, L L C. 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? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-20 | 2024-01-11 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-12-20 | 2024-01-11 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-12-20 | 2024-01-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-20 | 2024-01-11 | 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 | 2023-12-19 | 2024-01-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-12-19 | 2024-01-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-12-19 | 2024-01-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-12-19 | 2024-01-11 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-12-19 | 2024-01-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-21 | 2022-11-18 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-09-23 | 2022-10-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-23 | 2022-10-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-23 | 2022-10-28 | 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 | 2022-09-23 | 2022-10-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-23 | 2022-10-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-23 | 2022-10-28 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2022-09-23 | 2022-10-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-23 | 2022-10-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-23 | 2022-10-28 | Y |
| 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 | 2022-09-23 | 2022-10-28 | Y |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-09-21 | 2022-10-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-06-22 | 2022-07-18 | Y |
| Meet other general requirements. | Fire Safety | 2021-09-15 | 2021-12-17 | 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 | 2021-09-16 | 2021-10-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-09-15 | 2021-10-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-15 | 2021-10-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-09-15 | 2021-10-08 | N |
