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Deficiency Records for Holland Home - Raybrook Manor
View the most recent health deficiencies and inspection results for Holland Home - Raybrook Manor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Holland Home - Raybrook Manor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| 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 | 2025-12-23 | 2026-01-27 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2025-12-23 | 2026-01-27 | Y |
| Provide special eating equipment and utensils for residents who need them and appropriate assistance. | Health | 2025-02-05 | 2025-03-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2025-02-05 | 2025-03-11 | 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 | 2025-02-05 | 2025-03-11 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2025-02-05 | 2025-03-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-02-05 | 2025-03-11 | 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 | 2025-02-05 | 2025-03-11 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-02-05 | 2025-03-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-05 | 2025-03-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-05 | 2025-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2025-02-05 | 2025-03-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-01-26 | 2024-02-27 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2024-01-26 | 2024-02-27 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-26 | 2024-02-27 | 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 | 2024-01-26 | 2024-02-27 | 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 | 2024-01-26 | 2024-02-27 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-26 | 2024-02-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-01-26 | 2024-02-27 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-01-26 | 2024-02-27 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-26 | 2024-02-27 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-26 | 2024-02-27 | 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 | 2024-01-26 | 2024-02-27 | N |
| 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 | 2024-01-26 | 2024-02-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-29 | 2024-01-18 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-01-26 | 2024-01-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-11-29 | 2024-01-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-29 | 2024-01-02 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-01-11 | 2023-02-15 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-01-11 | 2023-02-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-11 | 2023-02-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-01-11 | 2023-02-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-01-11 | 2023-02-15 | 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 | 2023-01-11 | 2023-02-15 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2023-01-11 | 2023-02-15 | N |