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Deficiency Records for Llanfair House Care and Rehabilitation Center
View the most recent health deficiencies and inspection results for Llanfair House Care and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Llanfair House Care and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2024-12-16 | 2025-02-13 | Y |
| Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | Health | 2024-12-16 | 2025-02-13 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-12-16 | 2025-02-13 | 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 | 2024-12-16 | 2025-02-13 | 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 | 2024-12-16 | 2025-02-13 | N |
| Ensure that the resident and his/her doctor meet face-to-face at all required visits. | Health | 2024-12-16 | 2025-02-13 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2024-12-16 | 2025-02-13 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-12-16 | 2025-02-13 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-12-16 | 2025-02-13 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2024-12-16 | 2025-02-13 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Meet requirements for sections of health care facilities separated by fire resistive construction. | Fire Safety | 2024-12-16 | 2025-02-13 | 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 | 2024-12-16 | 2025-02-13 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2024-12-16 | 2025-02-13 | 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 | 2024-12-16 | 2025-02-13 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2024-12-16 | 2025-02-13 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-11-09 | 2024-01-09 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-11-09 | 2024-01-09 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-11-09 | 2024-01-09 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2023-11-09 | 2024-01-09 | 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 | 2023-11-09 | 2024-01-09 | 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 | 2023-11-09 | 2024-01-09 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-11-09 | 2024-01-09 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-11-09 | 2024-01-09 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-11-09 | 2024-01-09 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2023-11-09 | 2024-01-09 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-11-09 | 2024-01-09 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2023-11-09 | 2024-01-09 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2023-11-09 | 2024-01-09 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-11-09 | 2024-01-09 | 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 | 2023-11-09 | 2024-01-09 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-11-09 | 2024-01-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-06-04 | 2023-06-30 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-03 | 2023-01-20 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-03 | 2023-01-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-03 | 2023-01-20 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-11-03 | 2023-01-20 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2022-11-03 | 2023-01-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-11-03 | 2023-01-20 | 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 | 2022-11-03 | 2023-01-20 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-11-03 | 2023-01-20 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2022-11-03 | 2023-01-20 | N |
| Have the Quality Assessment and Assurance group have the required members and meet at least quarterly | Health | 2022-11-03 | 2023-01-20 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-11-03 | 2023-01-20 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-11-03 | 2023-01-20 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-11-03 | 2023-01-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-03 | 2023-01-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-03 | 2023-01-20 | 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 | 2022-11-03 | 2023-01-20 | N |
| Have exits that are accessible at all times. | Fire Safety | 2022-11-03 | 2023-01-20 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-11-03 | 2023-01-20 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2022-11-03 | 2023-01-20 | N |
| Install properly constructed windows in hallway walls or doors. | Fire Safety | 2022-11-03 | 2023-01-20 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2022-11-03 | 2023-01-20 | N |
| Properly provide smoke detection systems in areas open to corridors. | Fire Safety | 2022-11-03 | 2023-01-20 | 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 | 2022-11-03 | 2023-01-20 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-11-03 | 2023-01-20 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-03 | 2022-07-30 | N |