Deficiency Records for Livonia Woods Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Livonia Woods Nursing and Rehabilitation. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2023-09-05 | 2023-09-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-04-26 | 2023-05-28 | N |
| Assess the resident when there is a significant change in condition | Health | 2023-04-26 | 2023-05-28 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-26 | 2023-05-28 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-26 | 2023-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-26 | 2023-05-28 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-04-26 | 2023-05-28 | Y |
| Post nurse staffing information every day. | Health | 2023-04-26 | 2023-05-28 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-04-24 | 2023-05-28 | N |
| Give the resident's representative the ability to exercise the resident's rights. | Health | 2022-06-07 | 2022-07-01 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-06-07 | 2022-07-01 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-06-07 | 2022-07-01 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-06-07 | 2022-07-01 | Y |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-06-07 | 2022-07-01 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-04-14 | 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 | 2022-04-14 | 2022-05-13 | 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 | 2022-04-14 | 2022-05-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-04-14 | 2022-05-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-14 | 2022-05-13 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-09 | 2020-02-12 | 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 | 2020-01-09 | 2020-02-12 | 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 | 2020-01-09 | 2020-02-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-01-09 | 2020-02-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-01-07 | 2020-02-12 | N |
