Deficiency Records for The Rehabilitation Center of Independence
Updated as of March 01, 2024
A list of the most recent deficiencies for The Rehabilitation Center of Independence. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-06-13 | 2023-07-22 | 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 | 2023-06-13 | 2023-07-22 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Meet requirements for operating features, such as evacuation plans, fire drills, smoking regulations, draperies, decorations and the inspection, testing and maintenance of fire doors. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-06-13 | 2023-07-22 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-06-13 | 2023-07-11 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-06-13 | 2023-07-11 | 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 | 2023-06-13 | 2023-07-11 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-06-13 | 2023-07-11 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2023-06-13 | 2023-07-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-06-13 | 2023-07-11 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-06-13 | 2023-07-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-06-13 | 2023-07-11 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-06-13 | 2023-07-11 | N |
| Post nurse staffing information every day. | Health | 2023-06-13 | 2023-07-11 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-06-13 | 2023-07-11 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2023-06-13 | 2023-07-11 | 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 | 2023-06-13 | 2023-07-11 | 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 | 2023-06-13 | 2023-07-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-13 | 2023-07-11 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-06-13 | 2023-07-11 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-06-13 | 2023-07-11 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2023-06-13 | 2023-07-11 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-13 | 2023-07-11 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-13 | 2023-06-13 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-02-22 | 2023-02-21 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-15 | 2022-11-30 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-08-10 | 2022-09-13 | 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 | 2022-08-10 | 2022-08-12 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-08-10 | 2022-08-12 | Y |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2022-01-11 | 2022-02-16 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-11 | 2022-02-15 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-01-11 | 2022-02-15 | Y |
| Inform each resident of his or her visitation rights and ensure that all visitors enjoy equal visitation privileges. | Health | 2021-11-08 | 2021-11-18 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-10-06 | 2021-11-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-09-14 | 2021-10-01 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2021-07-15 | 2021-07-15 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2021-04-14 | 2021-05-20 | N |
| Provide activities to meet all resident's needs. | Health | 2021-04-14 | 2021-05-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-04-14 | 2021-05-20 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-04-14 | 2021-05-20 | 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 | 2021-04-14 | 2021-05-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-14 | 2021-05-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-04-14 | 2021-05-20 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-04-14 | 2021-05-20 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2021-04-14 | 2021-05-20 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-04-14 | 2021-05-20 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-04-14 | 2021-05-20 | Y |
| Dispose of garbage and refuse properly. | Health | 2021-04-14 | 2021-05-20 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-04-14 | 2021-05-20 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2021-04-14 | 2021-05-20 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-03-12 | 2020-04-26 | N |
| Respond appropriately to all alleged violations. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-03-12 | 2020-04-26 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2020-03-12 | 2020-04-26 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2020-03-12 | 2020-04-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2020-03-12 | 2020-04-26 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-03-12 | 2020-04-26 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2020-03-12 | 2020-04-26 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-03-12 | 2020-04-26 | 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 | 2020-03-12 | 2020-04-26 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-03-12 | 2020-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-03-12 | 2020-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-03-12 | 2020-04-26 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-03-12 | 2020-04-26 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2020-03-12 | 2020-04-26 | N |
