A list of the most recent deficiencies for Lebanon South 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-06 | 2023-11-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-10-06 | 2023-11-20 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-10-06 | 2023-11-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-10-06 | 2023-11-20 | 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 | 2023-10-06 | 2023-11-20 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2023-10-06 | 2023-11-20 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-10-06 | 2023-11-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-10-06 | 2023-11-20 | 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 | 2023-10-06 | 2023-11-20 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2023-10-06 | 2023-11-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-10-06 | 2023-11-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-10-06 | 2023-11-20 | N |
| Use approved construction type or materials. | Fire Safety | 2023-10-06 | 2023-11-20 | 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 | 2023-10-06 | 2023-11-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-10-06 | 2023-11-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-10-06 | 2023-11-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-01-26 | 2023-03-07 | Y |
| 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 | 2022-12-07 | 2023-01-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-15 | 2022-01-24 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-05 | 2021-05-17 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2021-04-05 | 2021-05-17 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-05 | 2021-05-17 | Y |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Use approved construction type or materials. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2021-04-05 | 2021-05-17 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-08 | 2019-05-08 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2019-04-08 | 2019-05-08 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-04-08 | 2019-05-08 | N |
