Deficiency Records for Seasons Rehab and Healthcare Center
Updated as of August 01, 2020
This is not the most recent data for Seasons Rehab and Healthcare Center. For the most recent information, click here.
A list of the most recent deficiencies for Seasons Rehab and Healthcare 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? |
|---|---|---|---|---|
| Respond appropriately to all alleged violations. | Health | 2019-09-27 | 2019-10-16 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-08-30 | 2019-09-24 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-06-28 | 2019-09-24 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-28 | 2019-09-24 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-06-28 | 2019-09-24 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-28 | 2019-09-24 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-06-28 | 2019-09-24 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-06-28 | 2019-09-24 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2019-07-23 | 2019-08-12 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2019-07-23 | 2019-08-12 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Use approved construction type or materials. | Fire Safety | 2019-06-28 | 2019-08-07 | 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 | 2019-06-28 | 2019-08-07 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Be properly staffed | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-06-28 | 2019-08-07 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2019-06-28 | 2019-08-07 | 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 | 2019-06-28 | 2019-08-07 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2019-06-28 | 2019-08-07 | 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 | 2019-06-28 | 2019-08-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-06-28 | 2019-08-07 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-06-28 | 2019-08-07 | 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 | 2019-06-28 | 2019-08-07 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-06-28 | 2019-08-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-06-28 | 2019-08-07 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-11-15 | 2019-01-07 | Y |
| Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. | Health | 2018-12-14 | 2019-01-07 | Y |
| Establish an Emergency Preparedness Program (EP). | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-05-16 | 2018-06-30 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-05-16 | 2018-06-30 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2018-05-16 | 2018-06-30 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-05-16 | 2018-06-30 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-05-16 | 2018-06-30 | 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 | 2018-05-16 | 2018-06-30 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2018-05-16 | 2018-06-30 | 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 | 2018-05-16 | 2018-06-30 | 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 | 2018-05-16 | 2018-06-30 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2018-01-03 | 2018-02-08 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2018-01-03 | 2018-02-08 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2017-03-06 | 2017-04-20 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-03-06 | 2017-04-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-03-06 | 2017-04-20 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-03-06 | 2017-04-20 | N |
| Hire a qualified dietician. | Health | 2017-03-06 | 2017-04-20 | N |
| Provide food in a way that meets a resident's needs. | Health | 2017-03-06 | 2017-04-20 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-03-06 | 2017-04-20 | N |
| Use approved construction type or materials. | Fire Safety | 2017-03-06 | 2017-04-15 | N |
| Ensure that laboratories employing quantities of flammable, combustible, or hazardous materials have fire resistant walls and automatic sprinkler system. | Fire Safety | 2017-03-06 | 2017-04-15 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-03-06 | 2017-04-15 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-03-06 | 2017-04-15 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-03-06 | 2017-04-15 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2017-03-06 | 2017-04-15 | N |
| Train all employees on what to do in an emergency, and carry out unannounced staff drills. | Health | 2017-03-06 | 2017-04-15 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-03-06 | 2017-04-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-03-06 | 2017-04-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-03-06 | 2017-04-10 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-03-06 | 2017-04-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-03-06 | 2017-04-10 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2017-03-06 | 2017-04-10 | 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 | 2017-03-06 | 2017-04-05 | 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 | 2017-03-06 | 2017-04-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-03-06 | 2017-04-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2017-03-06 | 2017-04-05 | N |
