Deficiency Records for Calibre Post Acute, LLC
Updated as of February 01, 2018
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? |
|---|---|---|---|---|
| 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 |
| 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 | 2016-02-04 | 2016-03-10 | 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 | 2016-02-04 | 2016-03-10 | N |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2016-02-04 | 2016-03-10 | N |
| Conduct initial and periodic assessments of each resident's functional capacity. | Health | 2016-02-04 | 2016-03-10 | N |
| Ensure each resident receives an accurate assessment by a qualified health professional. | Health | 2016-02-04 | 2016-03-10 | N |
| Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2016-02-04 | 2016-03-10 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2016-02-04 | 2016-03-10 | N |
| Provide care by qualified persons according to each resident's written plan of care. | Health | 2016-02-04 | 2016-03-10 | 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 | 2016-02-04 | 2016-03-10 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2016-02-04 | 2016-03-10 | 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 | 2016-02-04 | 2016-03-10 | N |
| Ensure that residents are safe from serious medication errors. | Health | 2016-02-04 | 2016-03-10 | N |
| Develop policies and procedures for influenza and pneumococcal immunizations. | Health | 2016-02-04 | 2016-03-10 | N |
| Make sure that a doctor approves a resident's admission in writing and that each resident remains under the care of a doctor. | Health | 2016-02-04 | 2016-03-10 | N |
| At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. | Health | 2016-02-04 | 2016-03-10 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-02-04 | 2016-03-10 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-02-04 | 2016-03-10 | N |
| Make sure that the facility is administered in an acceptable way that maintains the well-being of each resident . | Health | 2016-02-04 | 2016-03-10 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility | Health | 2016-02-04 | 2016-03-10 | N |
| Make sure that nurse aides show they have the skills and techniques to be able to care for residents' needs. | Health | 2016-02-04 | 2016-03-10 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2016-02-04 | 2016-03-10 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action. | Health | 2016-02-04 | 2016-03-10 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2015-11-09 | 2015-11-27 | Y |
