A list of the most recent deficiencies for Old Cheney Rehabilitation. 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? |
|---|---|---|---|---|
| Implement emergency and standby power systems. | Fire Safety | 2023-06-21 | 2023-08-25 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-06-21 | 2023-08-25 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-06-21 | 2023-07-28 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-06-21 | 2023-07-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-06-21 | 2023-07-28 | N |
| Meet other general requirements. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-06-21 | 2023-07-28 | 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 | 2023-06-21 | 2023-07-28 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Meet other general requirements that are deficient. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Meet requirements for the use and maintenance of medical gas equipment. | Fire Safety | 2023-06-21 | 2023-07-28 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-12-05 | 2023-01-06 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2022-04-07 | 2022-05-11 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-04-07 | 2022-05-11 | 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 | 2022-04-07 | 2022-05-11 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-04-07 | 2022-05-11 | Y |
| 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 | 2022-04-07 | 2022-05-11 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Meet other general requirements. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-04-05 | 2022-05-11 | 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 | 2022-04-05 | 2022-05-11 | N |
| Follow proper procedures when the automatic sprinkler systems was out of service for more than 10 hours. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-04-05 | 2022-05-11 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2020-09-03 | 2020-10-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2020-09-03 | 2020-10-13 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2020-09-03 | 2020-10-13 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2020-09-03 | 2020-10-13 | 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 | 2020-09-03 | 2020-10-13 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-09-03 | 2020-10-13 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-09-03 | 2020-10-13 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2020-09-03 | 2020-10-13 | 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 | 2020-09-03 | 2020-10-13 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-09-03 | 2020-10-13 | 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 | 2020-09-03 | 2020-10-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-09-03 | 2020-10-13 | N |
| Implement emergency and standby power systems. | Fire Safety | 2020-09-01 | 2020-10-13 | N |
| Meet other general requirements. | Fire Safety | 2020-09-01 | 2020-10-13 | 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 | 2020-09-01 | 2020-10-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2020-09-01 | 2020-10-13 | N |
| Ensure that waiting areas, nurse?s stations, gift shops, and cooking facilities, open to the corridor are properly protected. | Fire Safety | 2020-09-01 | 2020-10-13 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-01 | 2020-10-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-01 | 2020-10-13 | N |
