Deficiency Records for Moorhead Restorative Care Center
Updated as of April 01, 2022
This is not the most recent data for Moorhead Restorative Care Center. For the most recent information, click here.
A list of the most recent deficiencies for Moorhead Restorative Care 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? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-12-22 | 2022-03-10 | 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 | 2021-12-22 | 2022-03-10 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-12-22 | 2022-03-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-12-22 | 2022-02-18 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-12-22 | 2022-02-18 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-12-22 | 2022-02-18 | 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 | 2021-12-22 | 2022-02-18 | N |
| Ensure therapeutic diets are prescribed by the attending physician and may be delegated to a registered or licensed dietitian, to the extent allowed by State law. | Health | 2021-12-22 | 2022-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-12-22 | 2022-02-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-12-22 | 2022-02-18 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2021-12-22 | 2022-02-18 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-12-22 | 2022-02-18 | Y |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2021-06-16 | 2021-07-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-06-16 | 2021-07-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-06-16 | 2021-07-26 | 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 | 2021-06-16 | 2021-07-26 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2021-06-16 | 2021-07-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-16 | 2021-07-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-16 | 2021-07-26 | N |
| Implement emergency and standby power systems. | Fire Safety | 2021-06-16 | 2021-07-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-16 | 2021-07-16 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-06-16 | 2021-07-15 | N |
| Have exits that are accessible at all times. | Fire Safety | 2021-06-16 | 2021-07-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-06-16 | 2021-07-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2021-06-16 | 2021-07-06 | 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 | 2021-06-16 | 2021-07-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-06-16 | 2021-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-16 | 2021-06-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-06-16 | 2021-06-25 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2021-06-16 | 2021-06-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-16 | 2021-06-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-07-31 | 2020-09-02 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2020-07-31 | 2020-09-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-07 | 2020-07-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-07 | 2020-07-30 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-11-07 | 2020-07-30 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-11-07 | 2020-07-30 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-11-07 | 2020-07-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-11-07 | 2020-07-30 | Y |
| Report COVID19 data to residents and families. | Health | 2020-06-16 | 2020-07-24 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2020-03-19 | 2020-07-14 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2020-05-19 | 2020-06-26 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-05-19 | 2020-06-26 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-05-19 | 2020-06-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-05-19 | 2020-06-12 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-01-29 | 2020-04-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-01-29 | 2020-03-01 | Y |
| 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 | 2020-01-29 | 2020-03-01 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-11-07 | 2020-03-01 | 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 | 2019-11-07 | 2020-03-01 | 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 | 2019-11-07 | 2020-03-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-11-07 | 2020-03-01 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2019-11-07 | 2020-03-01 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2019-11-07 | 2020-03-01 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-11-07 | 2020-03-01 | 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 | 2019-11-07 | 2020-03-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-07 | 2020-03-01 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-07 | 2020-03-01 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-07 | 2020-03-01 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2019-11-07 | 2020-03-01 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-11-07 | 2020-03-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-07 | 2020-03-01 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-07 | 2020-03-01 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2019-11-07 | 2020-03-01 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-07 | 2020-03-01 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2019-11-07 | 2020-03-01 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-11-07 | 2020-03-01 | Y |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-10-29 | 2020-01-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-12-20 | 2019-12-29 | Y |
| Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | Health | 2019-11-07 | 2019-12-29 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-11-07 | 2019-12-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-11-07 | 2019-12-29 | N |
| Assess the resident when there is a significant change in condition | Health | 2019-11-07 | 2019-12-29 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2019-11-07 | 2019-12-29 | 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 | 2019-11-07 | 2019-12-29 | 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 | 2019-11-07 | 2019-12-29 | N |
| Employ or obtain outside professional resources to provide services in the nursing home when the facility does not employ a qualified professional to furnish a required service. | Health | 2019-11-07 | 2019-12-29 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-11-07 | 2019-12-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-11-07 | 2019-12-29 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-11-07 | 2019-12-29 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2019-11-07 | 2019-12-29 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-11-07 | 2019-12-29 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-11-07 | 2019-12-29 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-11-07 | 2019-12-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-07 | 2019-12-29 | 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 | 2019-11-07 | 2019-12-29 | Y |
| 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 | 2019-11-07 | 2019-12-29 | Y |
| 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 | 2019-11-07 | 2019-12-29 | Y |
| Post nurse staffing information every day. | Health | 2019-11-07 | 2019-12-29 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2019-11-07 | 2019-12-29 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-11-07 | 2019-12-29 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-11-07 | 2019-12-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-11-07 | 2019-12-29 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2019-11-07 | 2019-12-29 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-07 | 2019-12-29 | Y |
| Establish emergency prep training and testing. | Fire Safety | 2019-11-07 | 2019-12-29 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-11-07 | 2019-12-29 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-28 | 2019-09-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-08-28 | 2019-09-23 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2019-08-28 | 2019-09-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-09 | 2019-08-09 | Y |
| Respond appropriately to all alleged violations. | Health | 2019-07-09 | 2019-08-09 | Y |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2019-07-09 | 2019-08-09 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-05-03 | 2019-06-05 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-04-09 | 2019-04-30 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2019-04-09 | 2019-04-30 | Y |
| Provide and implement an infection prevention and control program. | Health | 2019-04-09 | 2019-04-30 | Y |
