Deficiency Records for Guardian Angels Health and Rehab Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Guardian Angels Health and Rehab 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? |
|---|---|---|---|---|
| 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 | 2023-11-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-25 | 2023-11-03 | 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 | 2023-11-03 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-08-03 | 2023-09-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-03 | 2023-09-09 | N |
| 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 |
| 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 |
| 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 |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | 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 appropriate pressure ulcer care and prevent new ulcers from developing. | 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 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 and implement an infection prevention and control program. | 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 |
| Implement emergency and standby power systems. | Fire Safety | 2023-08-03 | 2023-09-09 | N |
| Install noncombustible or limited-combustible interior walls. | Fire Safety | 2023-07-31 | 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 | 2023-07-31 | 2023-09-09 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-07-31 | 2023-09-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-07-31 | 2023-09-09 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-07-31 | 2023-09-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-31 | 2023-09-09 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-07-31 | 2023-09-09 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-06-30 | 2022-08-24 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-06-30 | 2022-08-24 | N |
| 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 | 2022-06-30 | 2022-08-24 | 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 | 2022-06-30 | 2022-08-24 | 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 | 2022-06-30 | 2022-08-24 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-06-30 | 2022-08-24 | 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 | 2022-06-30 | 2022-08-24 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-06-29 | 2022-08-24 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-29 | 2022-08-24 | 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 | 2022-06-29 | 2022-08-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-06-29 | 2022-08-24 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2021-04-30 | 2021-05-26 | N |
| 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 | 2021-04-30 | 2021-05-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-04-30 | 2021-05-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-27 | 2021-05-26 | N |
