Deficiency Records for Carnegie Village Rehabilitation and Health Care Cent
Updated as of April 01, 2024
A list of the most recent deficiencies for Carnegie Village Rehabilitation and Health Care Cent. 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 services provided by the nursing facility meet professional standards of quality. | Health | 2023-10-12 | 2023-10-30 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-09-15 | 2023-10-30 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2023-09-15 | 2023-10-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-09-15 | 2023-10-20 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-09-15 | 2023-10-20 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-15 | 2023-10-20 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-15 | 2023-10-20 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2023-09-15 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-15 | 2023-10-20 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-09-15 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-15 | 2023-10-20 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-09-15 | 2023-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-15 | 2023-10-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-15 | 2023-09-15 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-07-29 | 2022-07-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-07-29 | 2022-07-17 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-13 | 2022-04-14 | Y |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-01-19 | 2022-04-14 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-01-19 | 2022-04-14 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2022-01-19 | 2022-04-14 | Y |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-02-28 | 2022-03-26 | Y |
| Honor the resident's right to manage his or her financial affairs. | Health | 2022-01-19 | 2022-03-05 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2022-01-19 | 2022-03-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-01-19 | 2022-03-05 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2022-01-19 | 2022-03-05 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-01-19 | 2022-03-05 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-01-19 | 2022-03-05 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-01-19 | 2022-03-05 | 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 | 2022-01-19 | 2022-03-05 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2022-01-19 | 2022-03-05 | 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 | 2022-01-19 | 2022-03-05 | N |
| Post nurse staffing information every day. | Health | 2022-01-19 | 2022-03-05 | 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 | 2022-01-19 | 2022-03-05 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-01-19 | 2022-03-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2022-01-19 | 2022-03-05 | 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 | 2022-01-19 | 2022-03-05 | N |
| Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs. | Health | 2022-01-19 | 2022-03-05 | N |
| Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | Health | 2022-01-19 | 2022-03-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-01-19 | 2022-03-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-01-19 | 2022-03-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-01-19 | 2022-03-05 | N |
| Keep all essential equipment working safely. | Health | 2022-01-19 | 2022-03-05 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-01-19 | 2022-03-05 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-01-19 | 2022-03-05 | N |
| Notify each resident of certain balances and convey resident funds upon discharge, eviction, or death. | Health | 2019-05-31 | 2019-07-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-05-31 | 2019-07-02 | N |
| Provide appropriate colostomy, urostomy, or ileostomy care/services for a resident who requires such services. | Health | 2019-05-31 | 2019-07-02 | 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 | 2019-05-31 | 2019-07-02 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2019-05-31 | 2019-07-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-31 | 2019-07-02 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-05-31 | 2019-07-02 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2019-05-31 | 2019-07-02 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-05-31 | 2019-07-02 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-05-31 | 2019-07-02 | N |
