Deficiency Records for Trace Extended Care and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Trace Extended Care and Rehabilitation. 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? |
|---|---|---|---|---|
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-05-16 | 2023-06-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-05-16 | 2023-06-29 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-05-16 | 2023-06-29 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-14 | 2023-01-21 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-12-14 | 2023-01-21 | 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 | 2022-12-14 | 2023-01-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-12-14 | 2023-01-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-15 | 2023-01-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-15 | 2023-01-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-29 | 2021-10-28 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-17 | 2020-01-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-12-17 | 2020-01-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2019-12-17 | 2020-01-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-12-17 | 2020-01-06 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2019-12-17 | 2020-01-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-12-19 | 2020-01-06 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2018-10-24 | 2018-12-03 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-10-24 | 2018-12-03 | 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 | 2018-10-24 | 2018-12-03 | 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 | 2018-10-24 | 2018-12-03 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-10-24 | 2018-12-03 | N |
