A list of the most recent deficiencies for Lebanon North Nursing and Rehab. 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 safe, appropriate pain management for a resident who requires such services. | Health | 2023-11-29 | 2024-01-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-06 | 2023-10-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-09-06 | 2023-10-16 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-07-13 | 2023-08-22 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-10 | 2023-08-04 | Y |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-26 | 2022-10-05 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-26 | 2022-10-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-08-26 | 2022-10-05 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-26 | 2022-10-05 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-08-26 | 2022-10-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-26 | 2022-10-05 | 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 | 2022-08-26 | 2022-10-05 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-08-26 | 2022-10-05 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2022-08-26 | 2022-10-05 | 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 | 2022-08-26 | 2022-10-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-08-26 | 2022-10-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-26 | 2022-09-25 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-22 | 2022-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-22 | 2022-05-02 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-11-23 | 2022-01-10 | Y |
| Hire a qualified full-time social worker in a facility with more than 120 beds. | Health | 2021-11-23 | 2022-01-10 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-10-14 | 2021-11-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-10-14 | 2021-11-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-10-14 | 2021-11-23 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-07-14 | 2021-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-14 | 2021-08-23 | Y |
| Respond appropriately to all alleged violations. | Health | 2021-07-14 | 2021-08-23 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-04-14 | 2021-05-24 | Y |
| 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 | 2019-08-12 | 2019-09-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-08-12 | 2019-09-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-08-12 | 2019-09-26 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-08-12 | 2019-09-26 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2019-08-12 | 2019-09-26 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-08-12 | 2019-09-26 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-07-27 | 2018-09-05 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-07-27 | 2018-09-05 | N |
| Respond appropriately to all alleged violations. | Health | 2018-07-27 | 2018-09-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-27 | 2018-09-05 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-07-27 | 2018-09-05 | N |
| Post nurse staffing information every day. | Health | 2018-07-27 | 2018-09-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-07-27 | 2018-09-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-07-27 | 2018-09-05 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2018-07-27 | 2018-09-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-07-27 | 2018-08-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-07-27 | 2018-08-10 | N |
