A list of the most recent deficiencies for Nick's Health Care Center, LLC. 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? |
|---|---|---|---|---|
| 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 | 2023-03-30 | 2023-05-30 | N |
| 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 | 2023-03-30 | 2023-05-30 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-03-30 | 2023-05-30 | N |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2023-03-30 | 2023-05-30 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-03-30 | 2023-05-30 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2023-03-30 | 2023-05-30 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2023-03-30 | 2023-05-30 | 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 | 2023-03-30 | 2023-05-30 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2023-03-30 | 2023-05-30 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-30 | 2023-05-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-03-30 | 2023-05-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-03-30 | 2023-05-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2023-03-30 | 2023-05-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Develop a communication plan. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Use approved construction type or materials. | Fire Safety | 2023-03-30 | 2023-05-30 | 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 | 2023-03-30 | 2023-05-30 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-03-30 | 2023-05-30 | N |
| Respond appropriately to all alleged violations. | Health | 2022-05-31 | 2022-07-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-03 | 2022-07-07 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-01-04 | 2022-02-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-04 | 2022-02-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-06-01 | 2021-07-01 | Y |
| Provide and implement an infection prevention and control program. | Health | 2021-06-01 | 2021-07-01 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2020-02-26 | 2020-04-06 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2020-02-26 | 2020-04-06 | 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 | 2020-02-26 | 2020-04-06 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2020-02-26 | 2020-04-06 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2020-02-26 | 2020-04-06 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2020-02-26 | 2020-04-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2020-02-26 | 2020-04-06 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2020-02-26 | 2020-04-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-02-26 | 2020-04-06 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-02-26 | 2020-04-06 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-26 | 2020-04-06 | 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 | 2020-02-26 | 2020-04-06 | 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 | 2020-02-26 | 2020-04-06 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2020-02-26 | 2020-04-06 | 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 | 2020-02-26 | 2020-04-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-02-26 | 2020-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-26 | 2020-04-06 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2020-02-26 | 2020-04-06 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-02-26 | 2020-04-06 | N |
| Use approved construction type or materials. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-26 | 2020-04-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-03-21 | 2019-05-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2019-03-21 | 2019-05-14 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-03-21 | 2019-05-14 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-03-21 | 2019-05-14 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-03-21 | 2019-05-14 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-03-21 | 2019-05-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-03-21 | 2019-05-14 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-03-21 | 2019-05-14 | 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 | 2019-03-21 | 2019-05-14 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-03-21 | 2019-05-14 | 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 | 2019-03-21 | 2019-05-14 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2019-03-21 | 2019-05-14 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2019-03-21 | 2019-05-14 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-03-21 | 2019-05-14 | N |
| Implement a program that monitors antibiotic use. | Health | 2019-03-21 | 2019-05-14 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Use approved construction type or materials. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-03-21 | 2019-05-14 | N |
