Deficiency Records for Plaza Healthcare and Rehabilitation Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Plaza Healthcare and Rehabilitation 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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2022-03-17 | 2022-05-19 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2022-03-17 | 2022-05-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-03-17 | 2022-05-15 | N |
| Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident?s advance directives. | Health | 2022-03-17 | 2022-05-15 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-03-17 | 2022-05-15 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-03-17 | 2022-05-15 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-03-17 | 2022-05-15 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-03-17 | 2022-05-15 | 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 | 2022-03-17 | 2022-05-15 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-03-17 | 2022-05-15 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2022-03-17 | 2022-05-15 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-03-17 | 2022-04-30 | N |
| Respond appropriately to all alleged violations. | Health | 2022-03-17 | 2022-04-30 | 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 | 2022-03-17 | 2022-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-03-17 | 2022-04-30 | N |
| Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason. | Health | 2022-03-17 | 2022-04-30 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. | Health | 2022-03-17 | 2022-04-30 | N |
| Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. | Health | 2022-03-17 | 2022-04-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-03-17 | 2022-04-30 | N |
| Implement a program that monitors antibiotic use. | Health | 2022-03-17 | 2022-04-30 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2022-03-17 | 2022-04-30 | N |
| Ensure nurse aides have the skills they need to care for residents, and give nurse aides education in dementia care and abuse prevention. | Health | 2022-03-17 | 2022-04-30 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-11-14 | 2019-12-02 | 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 | 2019-11-14 | 2019-12-02 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2019-11-14 | 2019-12-02 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-14 | 2019-12-02 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-11-14 | 2019-12-02 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-11-14 | 2019-12-02 | N |
| Have elevators that firefighters can control in the event of a fire. | Fire Safety | 2019-11-14 | 2019-12-02 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-10 | 2019-02-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-01-10 | 2019-02-08 | 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 | 2019-01-10 | 2019-02-08 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-01-10 | 2019-02-08 | 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 | 2019-01-10 | 2019-02-08 | 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 | 2019-01-10 | 2019-02-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-08 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-10 | 2019-02-08 | N |
| Provide at least two remote exits on each floor or fire section of the building. | Fire Safety | 2019-01-10 | 2019-02-08 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-10 | 2019-02-08 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-01-10 | 2019-02-08 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-10 | 2019-02-08 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2019-01-10 | 2019-02-08 | N |
