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? |
|---|---|---|---|---|
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-05-23 | 2023-07-06 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-05-23 | 2023-07-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-23 | 2023-07-06 | N |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2023-05-23 | 2023-07-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-23 | 2023-07-06 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2023-05-23 | 2023-07-06 | 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 | 2023-05-23 | 2023-07-06 | N |
| Have exits that are accessible at all times. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-05-23 | 2023-07-06 | 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 | 2023-05-23 | 2023-07-06 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2023-05-23 | 2023-07-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-28 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-28 | 2022-06-10 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-02-07 | 2022-02-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-09-17 | 2021-10-28 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2021-06-28 | 2021-08-12 | 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 | 2021-06-28 | 2021-08-12 | N |
| Keep residents' personal and medical records private and confidential. | Health | 2021-06-28 | 2021-08-12 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2021-06-28 | 2021-08-12 | N |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2021-06-28 | 2021-08-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-06-28 | 2021-08-12 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-06-28 | 2021-08-12 | 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 | 2021-06-28 | 2021-08-12 | 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 | 2021-06-28 | 2021-08-12 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-28 | 2021-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-06-28 | 2021-08-12 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-06-28 | 2021-08-12 | 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 | 2021-06-28 | 2021-08-12 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2021-06-28 | 2021-08-12 | N |
| 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 |
| 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 |
| 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 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 | 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 |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | 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 requirements for the use of electrical equipment. | Fire Safety | 2019-06-28 | 2019-08-07 | N |
