Deficiency Records for Interlude

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Updated as of May 01, 2024

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Deficiency Records for Interlude

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.

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

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