Deficiency Records for Neilson Place
Updated as of January 01, 2023
This is not the most recent data for Neilson Place. For the most recent information, click here.
A list of the most recent deficiencies for Neilson Place. 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 care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-09-29 | 2022-11-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-09-29 | 2022-11-10 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2022-09-29 | 2022-11-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-09-29 | 2022-11-10 | Y |
| Establish staff and initial training requirements. | Fire Safety | 2022-09-29 | 2022-11-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-09-29 | 2022-10-31 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-09-29 | 2022-09-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-06-17 | 2022-07-20 | Y |
| Protect each resident from separation (from other residents, his/her room, or confinement to his/her room). | Health | 2021-08-18 | 2021-09-21 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-08-18 | 2021-09-21 | Y |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-08-06 | 2021-09-10 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2021-08-06 | 2021-09-10 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-08-20 | 2020-10-07 | N |
| Respond appropriately to all alleged violations. | Health | 2020-08-20 | 2020-10-07 | N |
| Provide activities to meet all resident's needs. | Health | 2020-08-20 | 2020-10-07 | 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 | 2020-08-20 | 2020-10-07 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2020-08-20 | 2020-10-07 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2020-08-20 | 2020-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-20 | 2020-10-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-08-20 | 2020-10-07 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-08-20 | 2020-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-08-18 | 2020-09-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-08-18 | 2020-09-16 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-06-12 | 2020-07-08 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-06-12 | 2020-07-08 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-20 | 2020-03-25 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2020-02-20 | 2020-03-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-02-20 | 2020-03-25 | Y |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-08-13 | 2019-10-28 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2019-08-13 | 2019-09-20 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-16 | 2019-09-19 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-08-16 | 2019-09-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-08-16 | 2019-09-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-16 | 2019-09-19 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-08-16 | 2019-09-19 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-16 | 2019-09-19 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2019-08-16 | 2019-09-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-08-16 | 2019-09-19 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-08-16 | 2019-09-19 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-16 | 2019-09-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-13 | 2019-09-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-08-13 | 2019-09-11 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-08-13 | 2019-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-13 | 2019-08-26 | N |
