Deficiency Records for Jaffrey Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Jaffrey Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Conduct testing and exercise requirements. | Fire Safety | 2023-04-11 | 2023-05-16 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-04-11 | 2023-05-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-04-11 | 2023-05-16 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2023-04-11 | 2023-05-16 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-04-11 | 2023-05-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-04-11 | 2023-05-16 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2023-04-13 | 2023-05-01 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-04-13 | 2023-05-01 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-13 | 2023-04-28 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2023-04-13 | 2023-04-25 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2023-04-13 | 2023-04-14 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-06-01 | 2022-07-11 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-06-01 | 2022-07-08 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-06-01 | 2022-07-08 | 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 | 2022-06-01 | 2022-06-21 | 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 | 2021-05-19 | 2021-06-30 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-05-19 | 2021-06-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-20 | 2021-06-23 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-05-20 | 2021-06-23 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2021-05-20 | 2021-06-23 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-05-20 | 2021-06-23 | N |
