Deficiency Records for Holland Home - Raybrook Manor
Updated as of August 01, 2020
This is not the most recent data for Holland Home - Raybrook Manor. For the most recent information, click here.
A list of the most recent deficiencies for Holland Home - Raybrook Manor. 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-11-05 | 2019-12-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-11-06 | 2019-12-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-06 | 2019-12-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-06 | 2019-12-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-09-26 | 2019-10-21 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-06-26 | 2019-07-31 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-08-23 | 2018-10-02 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-08-23 | 2018-10-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-08-23 | 2018-10-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-08-23 | 2018-10-02 | 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 | 2018-08-23 | 2018-10-02 | 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 | 2018-08-23 | 2018-10-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-08-23 | 2018-10-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-09-14 | 2017-10-17 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2017-09-14 | 2017-10-17 | N |
| Provide written records when a resident is transferred or discharged. | Health | 2017-09-14 | 2017-10-17 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-09-14 | 2017-10-17 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-09-14 | 2017-10-17 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-09-14 | 2017-10-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-09-14 | 2017-10-17 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-09-14 | 2017-10-17 | N |
| Make sure that each residents' abilities in activities of daily living do not decline, unless unavoidable. | Health | 2017-09-14 | 2017-10-17 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-09-14 | 2017-10-17 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-09-14 | 2017-10-17 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-09-14 | 2017-10-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-09-14 | 2017-10-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-09-14 | 2017-10-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-09-14 | 2017-10-17 | N |
