A list of the most recent deficiencies for Interlude. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2024-01-11 | 2024-02-21 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-01-11 | 2024-02-21 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-11 | 2024-02-21 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-01-11 | 2024-02-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-01-11 | 2024-02-21 | 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 | 2024-01-11 | 2024-02-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2024-01-11 | 2024-02-21 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2024-01-11 | 2024-02-21 | 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 | 2024-01-11 | 2024-02-21 | N |
| Implement emergency and standby power systems. | Fire Safety | 2024-01-11 | 2024-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-01-10 | 2024-02-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-10-09 | 2023-10-27 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2023-02-01 | 2023-03-13 | 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 | 2023-02-01 | 2023-03-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-02-01 | 2023-03-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-02-01 | 2023-03-13 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-02-01 | 2023-03-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-02-01 | 2023-03-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-18 | 2023-01-26 | Y |
