Deficiency Records for Caremeridian LLC, Dba Neurorestorative
Updated as of April 01, 2024
A list of the most recent deficiencies for Caremeridian LLC, Dba Neurorestorative. 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? |
|---|---|---|---|---|
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2024-02-01 | 2024-03-28 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2024-02-01 | 2024-03-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-02-01 | 2024-03-22 | 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 | 2024-02-01 | 2024-03-22 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-02-01 | 2024-03-22 | 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 | 2024-02-01 | 2024-03-22 | 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 | 2024-02-01 | 2024-03-22 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-02-01 | 2024-03-22 | N |
| Dispose of garbage and refuse properly. | Health | 2024-02-01 | 2024-03-22 | N |
| Electronically submit to CMS complete and accurate direct care staffing information, based on payroll and other verifiable and auditable data. | Health | 2024-02-01 | 2024-03-22 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2024-02-01 | 2024-02-05 | 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 | 2023-06-29 | 2023-07-14 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-03-01 | 2023-05-10 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-03-01 | 2023-04-14 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-03-01 | 2023-04-14 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2023-03-01 | 2023-04-14 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-03-01 | 2023-04-14 | Y |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-11-09 | 2022-12-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-11-09 | 2022-12-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-11-09 | 2022-12-26 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-11-09 | 2022-12-26 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-11-09 | 2022-12-12 | N |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2022-11-09 | 2022-12-12 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-09 | 2022-12-12 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-09 | 2022-12-12 | 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 | 2022-11-09 | 2022-12-12 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-09 | 2022-12-12 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2022-11-09 | 2022-12-12 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-11-09 | 2022-12-12 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-11-09 | 2022-12-12 | 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 | 2022-11-09 | 2022-12-12 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-09 | 2022-12-12 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-11-09 | 2022-12-09 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-11-04 | 2021-12-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2021-11-04 | 2021-12-15 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-04 | 2021-12-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-11-04 | 2021-12-08 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2021-11-04 | 2021-12-08 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2021-11-04 | 2021-12-08 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2021-11-04 | 2021-12-08 | 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 | 2021-11-04 | 2021-12-08 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-11-04 | 2021-12-08 | 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 | 2021-11-04 | 2021-12-08 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-04 | 2021-12-08 | 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 | 2021-11-04 | 2021-12-08 | N |
| Dispose of garbage and refuse properly. | Health | 2021-11-04 | 2021-12-08 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2021-11-04 | 2021-12-08 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2021-11-04 | 2021-12-08 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2021-11-04 | 2021-12-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-04 | 2021-12-08 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2021-11-02 | 2021-12-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-11-02 | 2021-12-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-11-02 | 2021-12-07 | N |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2021-11-02 | 2021-12-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-02 | 2021-12-02 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2021-11-02 | 2021-12-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2021-11-02 | 2021-11-05 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Establish policies and procedures for volunteers. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Create arrangements with other facilities to receive patients. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2024-01-31 | Not Fixed | N |
| List the names and contact information of those in the facility. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-01-31 | Not Fixed | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-01-31 | Not Fixed | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2024-01-31 | Not Fixed | N |
