Deficiency Records for Rochester Rehabilitation and Living Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Rochester Rehabilitation and Living 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? |
|---|---|---|---|---|
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-05-04 | 2023-05-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-04 | 2023-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-05-04 | 2023-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-04 | 2023-05-31 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-05-04 | 2023-05-31 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2023-05-04 | 2023-05-31 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-04 | 2023-05-31 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-05-04 | 2023-05-31 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-02 | 2023-05-31 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-02 | 2023-05-31 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-02 | 2023-05-31 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2023-05-02 | 2023-05-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-04-04 | 2023-05-12 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-04 | 2023-05-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-04-07 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-11-04 | 2022-10-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-22 | 2022-10-07 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-08-30 | 2022-09-21 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2022-08-11 | 2022-09-12 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-06-29 | 2022-07-22 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-01-21 | 2022-02-14 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2022-01-21 | 2022-02-14 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2022-01-21 | 2022-02-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-21 | 2022-02-14 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-01-21 | 2022-02-14 | N |
| 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 | 2022-01-21 | 2022-02-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-21 | 2022-02-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-21 | 2022-02-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-21 | 2022-02-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-01-21 | 2022-02-14 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-01-21 | 2022-02-14 | N |
| Implement emergency and standby power systems. | Fire Safety | 2022-01-21 | 2022-02-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-01-20 | 2022-02-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-20 | 2022-02-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-20 | 2022-02-14 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-01-20 | 2022-02-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-01-20 | 2022-02-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-01-20 | 2022-02-14 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2022-01-20 | 2022-02-14 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-30 | 2021-08-22 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2021-06-15 | 2021-07-08 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2021-04-26 | 2021-05-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-26 | 2021-05-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-03 | 2019-06-12 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-05-03 | 2019-06-12 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-05-03 | 2019-06-12 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-03 | 2019-06-12 | 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 | 2019-05-03 | 2019-06-12 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-05-03 | 2019-06-12 | N |
| Provide activities to meet all resident's needs. | Health | 2019-05-03 | 2019-06-12 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-03 | 2019-06-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-05-03 | 2019-06-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-05-03 | 2019-06-12 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-03 | 2019-06-12 | 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 | 2019-05-03 | 2019-06-12 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-05-03 | 2019-06-12 | N |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2019-05-03 | 2019-06-12 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-05-03 | 2019-06-12 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-03 | 2019-06-12 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2019-05-03 | 2019-06-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2019-05-03 | 2019-06-12 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-03 | 2019-06-12 | N |
| Implement emergency and standby power systems. | Fire Safety | 2019-05-03 | 2019-06-12 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-05-01 | 2019-06-12 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-05-01 | 2019-06-12 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-05-01 | 2019-06-12 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2019-05-01 | 2019-06-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-05-01 | 2019-06-12 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-05-01 | 2019-06-12 | N |
