Deficiency Records for Horizon Health and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Horizon 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? |
|---|---|---|---|---|
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-08-04 | 2023-09-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-04 | 2023-09-01 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-04 | 2023-09-01 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-08-04 | 2023-09-01 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-08-04 | 2023-09-01 | 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 | 2023-08-04 | 2023-09-01 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-08-04 | 2023-09-01 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2023-08-04 | 2023-09-01 | 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 | 2023-08-04 | 2023-09-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-04 | 2023-09-01 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Establish staff and initial training requirements. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2023-08-03 | 2023-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-08-03 | 2023-08-29 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2023-08-03 | 2023-08-28 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2023-08-03 | 2023-08-16 | N |
| Establish policies and procedures for sheltering. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-29 | 2022-10-29 | 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 | 2022-09-29 | 2022-10-29 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-09-29 | 2022-10-29 | N |
| Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status. | Health | 2022-09-30 | 2022-10-27 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-09-30 | 2022-10-27 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-09-30 | 2022-10-27 | Y |
| Provide appropriate foot care. | Health | 2022-09-30 | 2022-10-27 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-09-30 | 2022-10-27 | Y |
| 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 | 2022-09-30 | 2022-10-27 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-30 | 2022-10-27 | Y |
| 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 | 2022-09-30 | 2022-10-27 | Y |
| 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 | 2022-09-30 | 2022-10-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-09-30 | 2022-10-27 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-09-30 | 2022-10-27 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-30 | 2022-10-27 | Y |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2022-09-30 | 2022-10-27 | Y |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-09-29 | 2022-10-21 | N |
| Develop a communication plan. | Fire Safety | 2022-09-29 | 2022-10-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-09-29 | 2022-10-05 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-22 | 2021-08-10 | Y |
| Employ staff that are licensed, certified, or registered in accordance with state laws. | Health | 2021-07-22 | 2021-08-10 | Y |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-06 | 2020-01-30 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-12-06 | 2020-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-12-06 | 2019-12-31 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-12-06 | 2019-12-30 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-12-06 | 2019-12-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-06 | 2019-12-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-06 | 2019-12-30 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-12-06 | 2019-12-30 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-12-06 | 2019-12-24 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-12-06 | 2019-12-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-12-06 | 2019-12-18 | 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 | 2019-12-06 | 2019-12-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-12-06 | 2019-12-18 | 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 | 2019-12-06 | 2019-12-18 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-06 | 2019-12-18 | 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 | 2019-12-06 | 2019-12-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-06 | 2019-12-18 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2019-12-06 | 2019-12-18 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2019-12-06 | 2019-12-17 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-12-06 | 2019-12-11 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-12-06 | 2019-12-11 | N |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2019-12-06 | 2019-12-11 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-12-06 | 2019-12-11 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-12-06 | 2019-12-09 | 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 | 2019-12-06 | 2019-12-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-12-06 | 2019-12-06 | N |
