Deficiency Records for Premier Rehab and Healthcare
Updated as of August 01, 2021
This is not the most recent data for Premier Rehab and Healthcare. For the most recent information, click here.
A list of the most recent deficiencies for Premier Rehab and Healthcare. 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? |
|---|---|---|---|---|
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2021-03-09 | 2021-04-26 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-03-09 | 2021-04-26 | 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 | 2021-03-09 | 2021-04-26 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-03-09 | 2021-04-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-03-09 | 2021-04-26 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2021-03-09 | 2021-04-26 | N |
| Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | Health | 2021-03-12 | 2021-04-16 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-03-12 | 2021-04-16 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-03-12 | 2021-04-16 | 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 | 2021-03-12 | 2021-04-16 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-08-13 | 2020-10-27 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2020-08-13 | 2020-10-27 | N |
| Dispose of garbage and refuse properly. | Health | 2020-08-13 | 2020-10-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-08-13 | 2020-10-27 | N |
| Implement a program that monitors antibiotic use. | Health | 2020-08-13 | 2020-10-27 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2020-08-13 | 2020-10-27 | N |
| Report COVID19 data to residents and families. | Health | 2020-07-08 | 2020-07-27 | Y |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2019-10-24 | 2020-01-10 | N |
| Ensure that suites are correctly sub-divided by noncombustible or limited-combustible construction. | Fire Safety | 2019-10-24 | 2020-01-10 | 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 | 2019-10-24 | 2020-01-10 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-10-24 | 2020-01-10 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-10-24 | 2020-01-10 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-10-24 | 2020-01-10 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-10-24 | 2020-01-10 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-10-24 | 2020-01-10 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-10-24 | 2020-01-10 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-10-28 | 2019-12-10 | 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 | 2019-10-28 | 2019-12-10 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-10-28 | 2019-12-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-10-28 | 2019-12-10 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2019-10-28 | 2019-12-10 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-10-28 | 2019-12-10 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-10-28 | 2019-12-10 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2019-10-28 | 2019-12-10 | 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 | 2019-10-28 | 2019-12-10 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-10-28 | 2019-12-10 | 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 | 2019-10-28 | 2019-12-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-28 | 2019-12-10 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-10-28 | 2019-12-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-10-28 | 2019-12-10 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2018-12-18 | 2019-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2018-12-18 | 2019-02-21 | N |
| Have an alternate power supply for its alarm system. | Fire Safety | 2018-12-18 | 2019-02-21 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-12-18 | 2019-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-12-18 | 2019-02-21 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-12-18 | 2019-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2018-12-19 | 2019-01-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-12-19 | 2019-01-31 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-12-19 | 2019-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| 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 | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | 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 | 2018-12-19 | 2019-01-31 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-12-19 | 2019-01-31 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-12-19 | 2019-01-31 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-12-19 | 2019-01-31 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2018-10-16 | 2018-11-19 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2018-10-16 | 2018-11-19 | Y |
