Deficiency Records for Levering Regional Health Care Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Levering Regional Health Care 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? |
|---|---|---|---|---|
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-27 | 2023-12-29 | 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 | 2023-10-05 | 2023-11-14 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-07-13 | 2023-08-25 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-07-13 | 2023-08-25 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-07-13 | 2023-08-25 | N |
| Meet other general requirements. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2023-07-13 | 2023-08-25 | 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 | 2023-07-13 | 2023-08-25 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-07-13 | 2023-08-25 | 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 | 2023-07-13 | 2023-08-25 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-07-13 | 2023-08-25 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-01-04 | 2023-02-17 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-01-04 | 2023-02-17 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-01-04 | 2023-02-17 | 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 | 2023-01-04 | 2023-02-17 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2023-01-04 | 2023-02-17 | N |
| Keep all essential equipment working safely. | Health | 2023-01-04 | 2023-02-17 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-01-04 | 2023-02-17 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2023-01-04 | 2023-02-17 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-01-04 | 2023-02-17 | 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 | 2023-01-04 | 2023-02-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-01-04 | 2023-02-17 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-04 | 2023-02-17 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-01-04 | 2023-02-17 | Y |
| Provide appropriate foot care. | Health | 2023-01-04 | 2023-02-17 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-01-04 | 2023-02-17 | Y |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-01-04 | 2023-02-17 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2023-01-04 | 2023-02-17 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-01-04 | 2023-02-17 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-01-04 | 2023-02-17 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Meet other general requirements. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-01-04 | 2023-02-17 | 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 | 2023-01-04 | 2023-02-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Meet requirements for the use of electrical equipment. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-01-04 | 2023-02-17 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-20 | 2022-08-22 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-04-29 | 2022-05-23 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-29 | 2022-05-13 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-29 | 2022-05-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-03-08 | 2022-05-02 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-08 | 2022-05-02 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-07-06 | 2021-09-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-07-06 | 2021-09-01 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-07-06 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-06 | 2021-09-01 | 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 | 2021-07-06 | 2021-09-01 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-07-06 | 2021-09-01 | Y |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-07-06 | 2021-09-01 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-05-20 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-09-01 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-03-24 | 2021-08-12 | 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 | 2021-03-24 | 2021-08-12 | N |
| Provide routine and 24-hour emergency dental care for each resident. | Health | 2021-03-24 | 2021-08-12 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-24 | 2021-08-12 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-03-24 | 2021-08-12 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-03-24 | 2021-08-12 | Y |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2021-03-24 | 2021-08-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-05-20 | 2021-06-21 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-05-20 | 2021-06-21 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-03-24 | 2021-06-21 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2021-03-24 | 2021-06-21 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2021-03-24 | 2021-05-03 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-03-24 | 2021-05-03 | 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 | 2021-03-24 | 2021-05-03 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-24 | 2021-05-03 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2021-03-24 | 2021-05-03 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-24 | 2021-05-03 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-03-24 | 2021-05-03 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2021-03-24 | 2021-05-03 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-03-24 | 2021-05-03 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-03-24 | 2021-05-03 | Y |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Use approved construction type or materials. | Fire Safety | 2021-03-24 | 2021-05-03 | 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 | 2021-03-24 | 2021-05-03 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-24 | 2021-05-03 | N |
