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Deficiency Records for Guardian Angels Health and Rehab Center
View the most recent health deficiencies and inspection results for Guardian Angels Health and Rehab Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Guardian Angels Health and Rehab Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2025-08-20 | 2025-09-18 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-06-12 | 2025-08-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2025-06-12 | 2025-08-06 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-06-12 | 2025-08-06 | N |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-06-12 | 2025-08-06 | 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 | 2025-06-12 | 2025-08-06 | 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 | 2025-06-12 | 2025-08-06 | 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 | 2025-06-12 | 2025-08-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-06-12 | 2025-08-06 | N |
| Implement a program that monitors antibiotic use. | Health | 2025-06-12 | 2025-08-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2025-06-12 | 2025-08-06 | N |
| 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 | 2025-06-12 | 2025-08-06 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2025-06-12 | 2025-08-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-06-12 | 2025-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-06-12 | 2025-08-06 | 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 | 2025-06-12 | 2025-08-06 | Y |
| Install proper backup exit lighting. | Fire Safety | 2025-06-12 | 2025-07-30 | 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 | 2025-06-12 | 2025-07-30 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2025-06-12 | 2025-07-30 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2024-11-12 | 2024-11-06 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-07-17 | 2024-09-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-07-17 | 2024-09-03 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-07-17 | 2024-09-03 | N |
| Post nurse staffing information every day. | Health | 2024-07-17 | 2024-09-03 | 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 | 2024-07-17 | 2024-09-03 | 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 | 2024-07-17 | 2024-09-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-07-17 | 2024-09-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-07-17 | 2024-08-27 | 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 | 2024-07-17 | 2024-08-27 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-17 | 2024-08-27 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-07-17 | 2024-08-27 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-07-17 | 2024-08-27 | N |
| Have restrictions on the use of highly flammable decorations. | Fire Safety | 2024-07-17 | 2024-08-27 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-07-31 | 2024-07-26 | Y |
| 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 | 2024-02-09 | 2024-03-13 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-09-25 | 2023-10-09 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-25 | 2023-10-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-10-09 | Y |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2023-08-03 | 2023-09-09 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-08-03 | 2023-09-09 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-08-03 | 2023-09-09 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2023-08-03 | 2023-09-09 | 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 | 2023-08-03 | 2023-09-09 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-08-03 | 2023-09-09 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-09-09 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-08-03 | 2023-09-09 | 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 | 2023-08-03 | 2023-09-09 | 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 | 2023-08-03 | 2023-09-09 | 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 | 2023-08-03 | 2023-09-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-03 | 2023-09-09 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-03 | 2023-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-08-03 | 2023-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-08-03 | 2023-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-03 | 2023-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-08-03 | 2023-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-08-03 | 2023-09-09 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-03 | 2023-09-09 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2023-08-03 | 2023-09-09 | N |