Deficiency Records for Calibre Post Acute, LLC
Updated as of April 01, 2019
This is not the most recent data for Calibre Post Acute, LLC. For the most recent information, click here.
A list of the most recent deficiencies for Calibre Post Acute, LLC. 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? |
|---|---|---|---|---|
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-02-05 | 2018-02-28 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2018-02-05 | 2018-02-28 | 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 | 2018-02-05 | 2018-02-28 | N |
| Respond appropriately to all alleged violations. | Health | 2018-02-05 | 2018-02-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-02-05 | 2018-02-28 | N |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2018-02-05 | 2018-02-28 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-02-05 | 2018-02-28 | 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 | 2018-02-05 | 2018-02-28 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2018-02-05 | 2018-02-28 | N |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2018-02-05 | 2018-02-28 | 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 | 2018-02-05 | 2018-02-28 | 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 | 2018-02-05 | 2018-02-28 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2018-02-05 | 2018-02-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-05 | 2018-02-28 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-05 | 2018-02-28 | N |
| Implement a program that monitors antibiotic use. | Health | 2018-02-05 | 2018-02-28 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2018-02-05 | 2018-02-28 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-02-05 | 2018-02-28 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-02-05 | 2018-02-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-02-05 | 2018-02-28 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2018-02-07 | 2018-02-26 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2018-02-07 | 2018-02-26 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-02-07 | 2018-02-26 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2018-02-07 | 2018-02-26 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2018-02-07 | 2018-02-26 | N |
| Protect each resident from all abuse, physical punishment, and involuntary separation from others. | Health | 2017-04-27 | 2017-05-19 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-04-27 | 2017-05-19 | Y |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-04-27 | 2017-05-19 | Y |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-04-27 | 2017-05-19 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-04-27 | 2017-05-19 | Y |
| Quickly tell the resident's doctor the results of laboratory tests. | Health | 2017-04-27 | 2017-05-19 | Y |
| Install an approved automatic sprinkler system. | Fire Safety | 2017-02-08 | 2017-03-24 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-08 | 2017-03-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2017-02-08 | 2017-03-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2017-02-08 | 2017-03-24 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2017-02-10 | 2017-03-24 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2017-02-10 | 2017-03-24 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2017-02-10 | 2017-03-24 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2017-02-10 | 2017-03-24 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2017-02-10 | 2017-03-24 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2017-02-10 | 2017-03-24 | N |
| Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions. | Health | 2017-02-10 | 2017-03-24 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-10 | 2017-03-24 | N |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2017-02-10 | 2017-03-24 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2017-02-10 | 2017-03-24 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2017-02-10 | 2017-03-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-10 | 2017-03-24 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-09-23 | 2017-02-01 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-10-28 | 2016-12-30 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-10-28 | 2016-12-16 | Y |
| Assist those residents who need help with eating/drinking, grooming and personal and oral hygiene. | Health | 2016-10-28 | 2016-12-16 | Y |
| Try to resolve each resident's complaints quickly. | Health | 2016-09-23 | 2016-11-04 | N |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-09-23 | 2016-11-04 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-09-23 | 2016-11-04 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-09-23 | 2016-11-04 | N |
| Provide clean bed and bath linens that are in good condition. | Health | 2016-09-23 | 2016-11-04 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-09-23 | 2016-11-04 | N |
| Signs that state that exit doors are to be kept closed. | Fire Safety | 2016-09-21 | 2016-10-28 | N |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-07-12 | 2016-08-09 | Y |
| Maintain comfortable and safe temperature levels. | Health | 2016-07-12 | 2016-08-09 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-07-12 | 2016-08-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-07-12 | 2016-08-09 | Y |
| 1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents. | Health | 2016-06-01 | 2016-07-22 | Y |
| Develop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. | Health | 2016-06-01 | 2016-07-22 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-06-01 | 2016-07-22 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2016-06-01 | 2016-07-22 | Y |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-06-01 | 2016-07-22 | Y |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-06-01 | 2016-07-22 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-06-01 | 2016-07-22 | Y |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-06-01 | 2016-07-22 | Y |
| Give the right treatment and services to residents who display physical or psychosocial problems adapting to changes in circumstances. | Health | 2016-06-01 | 2016-07-22 | Y |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-06-01 | 2016-07-22 | Y |
| Ensure that each resident's 1) entire drug/medication regimen is free from unnecessary drugs; and 2) is managed and monitored to achieve highest level of well-being. | Health | 2016-06-01 | 2016-07-22 | Y |
| Ensure that residents are safe from serious medication errors. | Health | 2016-06-01 | 2016-07-22 | Y |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-06-01 | 2016-07-22 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-06-01 | 2016-07-22 | Y |
