Deficiency Records for Livingston Health and Rehabilitation Center
Updated as of July 01, 2023
This is not the most recent data for Livingston Health and Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Livingston Health and Rehabilitation 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? |
---|---|---|---|---|
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-04-13 | 2022-05-27 | 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 | 2022-04-13 | 2022-05-27 | N |
Assess the resident when there is a significant change in condition | Health | 2022-04-13 | 2022-05-27 | 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 | 2022-04-13 | 2022-05-27 | 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 | 2022-04-13 | 2022-05-27 | N |
Respond appropriately to all alleged violations. | Health | 2022-04-13 | 2022-05-27 | Y |
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-04-13 | 2022-05-27 | Y |
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-04-13 | 2022-05-27 | Y |
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-04-13 | 2022-05-27 | Y |
Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2022-04-13 | 2022-05-27 | Y |
Establish policies and procedures for medical documentation. | Fire Safety | 2022-04-19 | 2022-05-20 | N |
Establish methods for sharing information. | Fire Safety | 2022-04-19 | 2022-05-20 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-19 | 2022-05-20 | 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 | 2022-04-19 | 2022-05-20 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2022-04-19 | 2022-05-20 | N |
Have properly located and lighted "Exit" signs. | Fire Safety | 2022-04-19 | 2022-05-20 | 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 | 2022-04-19 | 2022-05-20 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-04-19 | 2022-05-20 | N |
To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-19 | 2022-05-20 | N |
Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-04-19 | 2022-05-20 | N |
Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-04-19 | 2022-05-20 | N |
Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2021-03-30 | 2021-04-30 | N |
Post nurse staffing information every day. | Health | 2021-03-30 | 2021-04-30 | 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 | 2021-03-30 | 2021-04-30 | 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 | 2021-03-30 | 2021-04-30 | 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 | 2021-03-30 | 2021-04-30 | N |
Provide and implement an infection prevention and control program. | Health | 2021-03-30 | 2021-04-30 | N |
Perform COVID19 testing on residents and staff. | Health | 2021-03-30 | 2021-04-30 | N |
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-03-30 | 2021-04-30 | Y |
Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-03-30 | 2021-04-30 | Y |
Establish emergency prep training and testing. | Fire Safety | 2021-03-31 | 2021-04-22 | 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 | 2021-03-31 | 2021-04-22 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2021-03-31 | 2021-04-22 | 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 | 2021-03-31 | 2021-04-22 | N |
Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-03-31 | 2021-04-22 | N |
Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2021-03-31 | 2021-04-22 | N |
Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-03-31 | 2021-04-22 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-31 | 2021-04-22 | N |
Have proper medical gas storage and administration areas. | Fire Safety | 2021-03-31 | 2021-04-22 | N |
Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-03-04 | 2021-03-24 | 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 | 2021-02-03 | 2021-03-10 | Y |
Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2020-10-08 | 2020-11-12 | Y |
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 | 2019-07-25 | 2019-08-29 | N |
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 | 2019-07-25 | 2019-08-29 | N |
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-07-25 | 2019-08-29 | 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 | 2019-07-25 | 2019-08-29 | 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 | 2019-07-25 | 2019-08-29 | N |
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-25 | 2019-08-29 | N |
Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Establish policies and procedures for volunteers. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
List the names and contact information of those in the facility. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Establish staff and initial training requirements. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Conduct testing and exercise requirements. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Use approved construction type or materials. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-15 | 2019-08-23 | 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 | 2019-07-15 | 2019-08-23 | 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 | 2019-07-15 | 2019-08-23 | N |
Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Have restrictions on the use of flammable curtains. | Fire Safety | 2019-07-15 | 2019-08-23 | N |
Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-07-15 | 2019-08-23 | N |