A list of the most recent deficiencies for Norlite 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? |
|---|---|---|---|---|
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-12-14 | 2024-01-11 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2023-12-14 | 2024-01-11 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-12-14 | 2024-01-11 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-12-14 | 2024-01-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-14 | 2024-01-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-12-14 | 2024-01-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-12-14 | 2024-01-11 | Y |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2023-12-13 | 2024-01-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-12-13 | 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 | 2023-12-13 | 2024-01-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-12-13 | 2024-01-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-12-13 | 2024-01-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-12-13 | 2024-01-11 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2023-12-13 | 2024-01-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-07 | 2023-10-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-04 | 2023-01-11 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-11-04 | 2022-12-07 | 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 | 2022-11-04 | 2022-12-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-04 | 2022-12-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-11-04 | 2022-12-07 | 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 | 2022-11-04 | 2022-12-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-11-04 | 2022-12-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-04 | 2022-12-07 | 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 | 2022-11-04 | 2022-12-07 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-04 | 2022-12-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-04 | 2022-12-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-11-03 | 2022-12-07 | 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 | 2022-11-03 | 2022-12-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-11-03 | 2022-12-07 | N |
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2022-08-10 | 2022-09-09 | 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 | 2022-08-10 | 2022-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-10 | 2022-03-21 | Y |
| 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 | 2021-12-01 | 2021-12-29 | Y |
| 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 | 2021-08-11 | 2021-09-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-08-11 | 2021-09-08 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-08-11 | 2021-09-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-08-11 | 2021-09-08 | 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 | 2021-08-11 | 2021-09-08 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-08-11 | 2021-09-08 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-08-11 | 2021-09-08 | 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 | 2021-08-11 | 2021-09-08 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2021-08-11 | 2021-09-08 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-08-11 | 2021-09-08 | 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 | 2021-08-11 | 2021-09-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-08-11 | 2021-09-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-08-11 | 2021-09-08 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-08-11 | 2021-09-08 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-08-12 | 2021-09-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-08-12 | 2021-09-08 | 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 | 2021-08-12 | 2021-09-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-08-12 | 2021-09-08 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-08-12 | 2021-09-08 | N |
