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Deficiency Records for Calibre Post Acute, LLC
View the most recent health deficiencies and inspection results for Calibre Post Acute, LLC. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Calibre Post Acute, LLC. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2026-03-03 | 2026-03-30 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2026-03-03 | 2026-03-30 | Y |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2026-03-03 | 2026-03-30 | Y |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2025-11-18 | 2026-01-16 | Y |
| Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. | Health | 2025-11-18 | 2026-01-16 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-11-18 | 2026-01-16 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-11-18 | 2026-01-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-11-18 | 2026-01-16 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-18 | 2026-01-16 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2025-11-18 | 2026-01-16 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-11-18 | 2026-01-16 | Y |
| Provide behavior health training consistent with the requirements and as determined by a facility assessment. | Health | 2025-06-18 | 2025-07-25 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-06-18 | 2025-07-25 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2025-06-18 | 2025-07-25 | 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 | 2025-06-18 | 2025-07-25 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-06-18 | 2025-07-25 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-06-18 | 2025-07-25 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-02-20 | 2025-04-02 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-02-20 | 2025-04-02 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-02-20 | 2025-04-02 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-02-20 | 2025-04-02 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2025-02-20 | 2025-04-02 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2025-02-20 | 2025-04-02 | Y |
| 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 | 2025-02-20 | 2025-04-02 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2025-02-20 | 2025-04-02 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-02-20 | 2025-04-02 | Y |
| 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 | 2024-11-06 | 2024-12-20 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-11-06 | 2024-12-20 | 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 | 2024-11-06 | 2024-12-20 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-11-06 | 2024-12-20 | N |
| Develop, implement, and/or maintain an effective training program that includes effective communications for direct care staff members. | Health | 2024-11-06 | 2024-12-20 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-11-06 | 2024-12-20 | 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 | 2024-11-06 | 2024-12-20 | N |
| Provide or obtain dental services for each resident. | Health | 2024-11-06 | 2024-12-20 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-11-06 | 2024-12-20 | N |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2024-11-06 | 2024-12-20 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-11-06 | 2024-12-20 | 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 | 2024-11-06 | 2024-12-20 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-11-06 | 2024-12-20 | N |
| Ensure each resident receives an accurate assessment. | Health | 2024-11-06 | 2024-12-20 | N |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2024-11-06 | 2024-12-20 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2024-11-06 | 2024-12-20 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2024-11-06 | 2024-12-20 | 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 | 2024-11-06 | 2024-12-20 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-08-23 | 2024-10-21 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-08-23 | 2024-10-21 | Y |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2024-08-23 | 2024-10-21 | Y |
| Prepare residents for a safe transfer or discharge from the nursing home. | Health | 2024-01-03 | 2024-01-17 | Y |
| 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 | 2023-08-03 | 2024-01-16 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2023-08-03 | 2024-01-16 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-03 | 2024-01-16 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-08-03 | 2024-01-16 | Y |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-08-03 | 2024-01-16 | N |
| Provide care or services that was trauma informed and/or culturally competent. | Health | 2023-08-03 | 2023-09-02 | 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 | 2023-08-03 | 2023-09-02 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-08-03 | 2023-09-02 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-08-03 | 2023-09-02 | 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 | 2023-08-03 | 2023-09-02 | 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 | 2023-08-03 | 2023-09-02 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2023-08-03 | 2023-09-02 | 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 | 2023-08-03 | 2023-09-02 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-08-03 | 2023-09-02 | 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 | 2023-08-03 | 2023-09-02 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-08-03 | 2023-09-02 | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2023-08-03 | 2023-09-02 | Y |
| Respond appropriately to all alleged violations. | Health | 2023-08-03 | 2023-09-02 | Y |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-03 | 2023-09-02 | 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 | 2023-08-03 | 2023-09-02 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2023-08-03 | 2023-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-08-03 | 2023-09-02 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-08-03 | 2023-09-02 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-08-03 | 2023-09-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-08-03 | 2023-09-02 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-09-09 | 2022-10-07 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2022-09-09 | 2022-10-07 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-09-09 | 2022-10-07 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2022-09-09 | 2022-10-07 | N |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-09-09 | 2022-10-07 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2022-09-09 | 2022-10-07 | 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 | 2022-09-09 | 2022-10-07 | 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 | 2022-09-09 | 2022-10-07 | 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 | 2022-09-09 | 2022-10-07 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-09-09 | 2022-10-07 | N |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2022-09-09 | 2022-10-07 | N |
| Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services. | Health | 2022-09-09 | 2022-10-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-09-09 | 2022-10-07 | N |
| Perform COVID19 testing on residents and staff. | Health | 2022-09-09 | 2022-10-07 | N |
| Keep all essential equipment working safely. | Health | 2022-09-09 | 2022-10-07 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-09-09 | 2022-10-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2022-09-09 | 2022-10-07 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-09-09 | 2022-10-07 | N |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2022-09-09 | 2022-10-07 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-09-09 | 2022-10-07 | N |
| Honor the resident's right to share a room with spouse or roommate of choice and receive written notice before a change is made. | Health | 2022-09-09 | 2022-10-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-09 | 2022-10-07 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-09-09 | 2022-10-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-09-09 | 2022-10-07 | N |