Deficiency Records for Lebanon South Nursing and Rehab
Updated as of March 01, 2019
This is not the most recent data for Lebanon South Nursing and Rehab. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-21 | 2018-07-02 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-05-21 | 2018-07-02 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-21 | 2018-07-02 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2018-05-21 | 2018-07-02 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-05-21 | 2018-07-02 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-05-21 | 2018-07-02 | 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 | 2018-05-21 | 2018-07-02 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2018-05-21 | 2018-07-02 | 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 | 2018-05-21 | 2018-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-05-21 | 2018-07-02 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2018-05-21 | 2018-07-02 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2017-12-27 | 2018-02-21 | Y |
| Use approved construction type or materials. | Fire Safety | 2017-06-22 | 2017-08-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2017-06-22 | 2017-08-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2017-06-22 | 2017-08-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-06-22 | 2017-08-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-06-22 | 2017-08-06 | N |
| Provide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible. | Health | 2017-06-22 | 2017-08-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-06-22 | 2017-08-06 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2017-06-22 | 2017-08-06 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-06-22 | 2017-08-06 | N |
| Post nurse staffing information/data on a daily basis. | Health | 2017-06-22 | 2017-08-06 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-06-22 | 2017-08-06 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2017-06-22 | 2017-08-06 | Y |
| Have enough nurses to care for every resident in a way that maximizes the resident's well being. | Health | 2017-06-22 | 2017-08-06 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-06-22 | 2017-08-06 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-06 | 2017-04-20 | Y |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2016-09-19 | 2016-10-28 | Y |
| Give residents a notice of rights, rules, services and charges. | Health | 2016-04-11 | 2016-06-09 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2016-04-11 | 2016-06-09 | N |
| Allow residents to easily view the results of the nursing home's most recent inspection. | Health | 2016-04-11 | 2016-06-09 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-04-11 | 2016-06-09 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-04-11 | 2016-06-09 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-04-11 | 2016-06-09 | N |
| Review or revise the resident's care plan after any major change in physical or mental health. | Health | 2016-04-11 | 2016-06-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-04-11 | 2016-06-09 | N |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-04-11 | 2016-06-09 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-04-11 | 2016-06-09 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-04-11 | 2016-06-09 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-04-11 | 2016-06-09 | N |
| Corridors that are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2016-04-11 | 2016-05-24 | N |
| Special areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. | Fire Safety | 2016-04-11 | 2016-05-24 | N |
