A list of the most recent deficiencies for Norterre. 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? |
|---|---|---|---|---|
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Have horizontal exits used in accordance with safety requirements. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-04-11 | 2023-05-01 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2021-12-29 | 2022-01-05 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2021-12-29 | 2022-01-05 | Y |
| 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 | 2019-08-23 | 2019-10-04 | 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 | 2019-08-23 | 2019-10-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-08-23 | 2019-10-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-08-23 | 2019-10-04 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-08-23 | 2019-10-04 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-08-23 | 2019-10-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-08-23 | 2019-10-04 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-08-23 | 2019-10-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-08-23 | 2019-10-04 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-12-13 | 2019-02-05 | N |
| Post a list of names, addresses, and telephone numbers of all pertinent State agencies and advocacy groups and a statement that the resident may file a complaint with the State Survey Agency. | Health | 2018-12-13 | 2019-02-05 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2018-12-13 | 2019-02-05 | N |
| Not hire anyone with a finding of abuse, neglect, exploitation, or theft. | Health | 2018-12-13 | 2019-02-05 | N |
| Respond appropriately to all alleged violations. | Health | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-12-13 | 2019-02-05 | N |
| Provide activities to meet all resident's needs. | Health | 2018-12-13 | 2019-02-05 | N |
| Ensure the activities program is directed by a qualified professional. | Health | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-13 | 2019-02-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-13 | 2019-02-05 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | N |
| Ensure that residents are free from significant medication errors. | Health | 2018-12-13 | 2019-02-05 | N |
| Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. | Health | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2018-12-13 | 2019-02-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-13 | 2019-02-05 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-12-13 | 2019-02-05 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-12-13 | 2019-02-05 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2018-12-13 | 2019-02-05 | 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 | 2018-12-13 | 2019-02-05 | N |
| Follow proper procedures when the fire alarm was out of service for more than 4 hours. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-12-13 | 2019-02-05 | N |
