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Deficiency Records for Lebanon South Nursing and Rehab
View the most recent health deficiencies and inspection results for Lebanon South Nursing and Rehab. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Lebanon South Nursing and Rehab. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2026-03-16 | 2026-05-02 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2026-03-16 | 2026-05-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2026-01-06 | 2026-02-23 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-23 | 2025-07-07 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2025-05-23 | 2025-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-23 | 2025-07-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-05-23 | 2025-07-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-05-23 | 2025-07-07 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2025-05-23 | 2025-07-07 | N |
| Ensure that residents are free from significant medication errors. | Health | 2025-05-23 | 2025-07-07 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-05-23 | 2025-07-07 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-23 | 2025-07-07 | N |
| Assess the resident when there is a significant change in condition | Health | 2025-05-23 | 2025-07-07 | 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 | 2025-05-23 | 2025-07-07 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2025-05-23 | 2025-07-07 | 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 | 2025-05-23 | 2025-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-02-25 | 2025-03-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-25 | 2025-03-26 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-02-25 | 2025-03-26 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-10-06 | 2023-11-21 | 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 |
| 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 |
| 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 care and assistance to perform activities of daily living for any resident who is unable. | 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 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2021-04-05 | 2021-05-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-04-05 | 2021-05-17 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-05 | 2021-05-17 | N |
| 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 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-05 | 2021-05-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 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 | N |
| 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 |