A list of the most recent deficiencies for Butler Rehab and Healthcare 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 request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2022-08-05 | 2022-09-15 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2022-08-05 | 2022-09-15 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-08-05 | 2022-09-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-05 | 2022-09-15 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2022-08-05 | 2022-09-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-08-05 | 2022-09-15 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-08-05 | 2022-09-15 | 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 | 2022-08-05 | 2022-09-15 | N |
| Provide enough power supply for lighting all entrances and exits; equipment for fire detection and alarm systems, and extinguishers. | Health | 2022-08-05 | 2022-09-15 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-05 | 2022-09-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-08-05 | 2022-09-15 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-08-05 | 2022-09-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-08-05 | 2022-09-15 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-08-05 | 2022-09-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-08-05 | 2022-09-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-11-21 | 2020-01-04 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-11-21 | 2020-01-04 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2019-11-21 | 2020-01-04 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-11-21 | 2020-01-04 | 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 | 2019-11-21 | 2020-01-04 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2019-11-21 | 2020-01-04 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-21 | 2020-01-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-21 | 2020-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-11-21 | 2020-01-04 | 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 | 2019-11-21 | 2020-01-04 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-11-21 | 2020-01-04 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-11-21 | 2020-01-04 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-11-21 | 2020-01-04 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-11-21 | 2020-01-04 | 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 | 2019-11-21 | 2020-01-04 | 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 | 2019-11-21 | 2020-01-04 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2019-11-21 | 2020-01-04 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-11-21 | 2020-01-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2020-01-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-11-21 | 2020-01-04 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-11-21 | 2020-01-04 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Use approved construction type or materials. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-11-21 | 2020-01-04 | 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 | 2019-11-21 | 2020-01-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-21 | 2020-01-04 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-09-14 | 2018-10-23 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-09-14 | 2018-10-23 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-09-14 | 2018-10-23 | N |
| 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 | 2018-09-14 | 2018-10-23 | N |
| Provide activities to meet all resident's needs. | Health | 2018-09-14 | 2018-10-23 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-09-14 | 2018-10-23 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-09-14 | 2018-10-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-14 | 2018-10-23 | 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 | 2018-09-14 | 2018-10-23 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2018-09-14 | 2018-10-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-14 | 2018-10-23 | N |
| Keep all essential equipment working safely. | Health | 2018-09-14 | 2018-10-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Establish emergency prep training and testing. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Implement emergency and standby power systems. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Use approved construction type or materials. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-09-14 | 2018-10-23 | 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 | 2018-09-14 | 2018-10-23 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Have a fire alarm with audible and visual signals that transmits the alarm automatically to notify emergency forces in event of fire. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-09-14 | 2018-10-23 | N |
