Deficiency Records for Adroit Care Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Adroit Care 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? |
|---|---|---|---|---|
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-09-06 | 2023-10-25 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-09-06 | 2023-09-13 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2023-09-06 | 2023-09-13 | 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 | 2023-09-06 | 2023-09-13 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-09-06 | 2023-09-11 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2023-09-06 | 2023-09-11 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-09-06 | 2023-09-11 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-06 | 2023-09-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-09-06 | 2023-09-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2023-01-13 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-02-07 | 2022-03-25 | 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 | 2021-07-09 | 2021-09-01 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2021-07-09 | 2021-09-01 | 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 | 2021-07-09 | 2021-09-01 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-07-09 | 2021-09-01 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2021-07-09 | 2021-09-01 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-07-09 | 2021-09-01 | 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 | 2021-07-09 | 2021-08-12 | 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 | 2021-07-09 | 2021-08-12 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-07-09 | 2021-08-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-06-15 | 2021-07-23 | Y |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-06-15 | 2021-07-12 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-08-20 | 2019-09-30 | 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 | 2019-08-20 | 2019-09-30 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-08-20 | 2019-09-30 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-08-20 | 2019-09-30 | N |
