A list of the most recent deficiencies for Neurorestorative 4 Kids. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-03-09 | 2023-04-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2023-03-09 | 2023-04-21 | 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 | 2023-03-09 | 2023-04-21 | 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 | 2023-03-09 | 2023-04-21 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-09 | 2023-04-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-09 | 2023-04-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-03-09 | 2023-04-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-03-09 | 2023-04-21 | N |
| Meet Health Care Facilities Code mechanical requirements. | Fire Safety | 2023-03-09 | 2023-04-21 | 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 | 2023-03-10 | 2023-04-17 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-03-10 | 2023-04-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-10 | 2023-04-17 | 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 | 2023-03-10 | 2023-04-17 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-03-10 | 2023-04-17 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-03-10 | 2023-04-17 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-03-10 | 2023-04-17 | 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 | 2023-03-10 | 2023-04-17 | 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 | 2023-03-10 | 2023-04-17 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-03-10 | 2023-04-17 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-01-05 | 2023-02-10 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-01 | 2022-09-30 | Y |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2021-12-22 | 2022-01-14 | Y |
| Develop and implement policies and procedures to ensure (1) employees report any suspicion of a crime against any resident, according to timelines; (2) post the notice of employee rights; and (3) prohibit and prevent retaliation for reporting. | Health | 2021-12-22 | 2022-01-14 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Develop a communication plan. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| List the names and contact information of those in the facility. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Provide emergency officials' contact information. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2021-09-01 | 2021-11-04 | 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 | 2021-09-01 | 2021-11-04 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2021-09-01 | 2021-11-04 | 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 | 2021-09-01 | 2021-11-04 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Construct fire resistant interior walls. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Provide a written emergency evacuation plan. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Have restrictions on the use of flammable curtains. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Ensure electrical receptacles or cover plates have distinctive color or marking. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-09-01 | 2021-11-04 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2021-09-01 | 2021-11-04 | 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 | 2021-09-02 | 2021-10-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-09-02 | 2021-10-08 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Include a process for Emergency Preparedness collaboration. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Develop Emergency Preparedness policies and procedures. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-07-02 | 2019-09-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-07-02 | 2019-09-13 | 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 | 2019-07-03 | 2019-08-15 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-07-03 | 2019-08-15 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-07-03 | 2019-08-15 | 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 | 2019-07-03 | 2019-08-15 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-07-03 | 2019-08-15 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-07-03 | 2019-08-15 | 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 | 2019-07-03 | 2019-08-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-07-03 | 2019-08-15 | 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 | 2019-07-03 | 2019-08-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-07-03 | 2019-08-15 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-07-03 | 2019-08-15 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-07-03 | 2019-08-15 | 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 | 2019-07-03 | 2019-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-07-03 | 2019-08-15 | N |
