Deficiency Records for Premier Health and Rehabilitation Center of Lv, LP
Updated as of April 01, 2024
A list of the most recent deficiencies for Premier Health and Rehabilitation Center of Lv, LP. 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? |
|---|---|---|---|---|
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-11-07 | 2023-11-07 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-11-07 | 2023-11-07 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-11-07 | 2023-11-07 | Y |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2023-11-07 | 2023-11-07 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Implement emergency and standby power systems. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-14 | 2023-10-20 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-09-14 | 2023-10-17 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-09-14 | 2023-10-17 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2023-09-14 | 2023-10-17 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-09-14 | 2023-10-17 | 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 | 2023-09-14 | 2023-10-17 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-09-14 | 2023-10-17 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2023-09-14 | 2023-10-17 | 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 | 2023-09-14 | 2023-10-17 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-09-14 | 2023-10-17 | 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 | 2023-09-14 | 2023-10-17 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2023-09-14 | 2023-10-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-09-14 | 2023-09-14 | Y |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2022-10-01 | 2022-11-30 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Develop a communication plan. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Provide emergency officials' contact information. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-10-01 | 2022-11-01 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-30 | 2022-10-29 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-09-30 | 2022-10-29 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-30 | 2022-10-29 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-30 | 2022-10-29 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-09-30 | 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 | 2022-10-29 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-30 | 2022-10-29 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-30 | 2022-10-29 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-09-30 | 2022-10-29 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-30 | 2022-10-29 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-30 | 2022-10-29 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-30 | 2022-10-29 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-30 | 2022-10-29 | Y |
| Have a complete alarm system manually initiated and initiated by fire sprinkler system connection. | Fire Safety | 2022-10-01 | 2022-10-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-10-01 | 2022-10-28 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-10-01 | 2022-10-28 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-10-01 | 2022-10-28 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2022-10-01 | 2022-10-28 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-10-01 | 2022-10-20 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2022-10-01 | 2022-10-05 | N |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-05-11 | 2022-06-03 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-11 | 2022-06-03 | Y |
| Report COVID19 data to residents and families. | Health | 2021-07-30 | 2021-08-16 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide doctor's orders for the resident's immediate care at the time the resident was admitted. | Health | 2019-07-11 | 2019-08-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-07-11 | 2019-08-19 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-11 | 2019-08-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-11 | 2019-08-19 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-07-11 | 2019-08-19 | 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 | 2019-07-11 | 2019-08-19 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-11 | 2019-08-19 | 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 | 2019-07-11 | 2019-08-19 | 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 | 2019-07-11 | 2019-08-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-07-11 | 2019-08-19 | 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 | 2019-07-09 | 2019-08-19 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2019-07-09 | 2019-08-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-09 | 2019-08-09 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-07-09 | 2019-08-06 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2019-07-09 | 2019-07-09 | N |
