A list of the most recent deficiencies for Uptown 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? |
|---|---|---|---|---|
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2024-01-04 | 2024-02-09 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-01-04 | 2024-02-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-01-04 | 2024-02-09 | 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 | 2023-10-24 | 2023-11-27 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-10-24 | 2023-11-27 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-10-24 | 2023-11-27 | Y |
| 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 | 2023-10-24 | 2023-11-27 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-10-24 | 2023-11-27 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2023-06-14 | 2023-07-24 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-05-30 | 2023-07-03 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-05-30 | 2023-07-03 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2023-05-30 | 2023-07-03 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-11-17 | 2023-01-03 | N |
| Respond appropriately to all alleged violations. | Health | 2022-11-17 | 2023-01-03 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-11-17 | 2023-01-03 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-17 | 2023-01-03 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2022-11-17 | 2023-01-03 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-11-17 | 2023-01-03 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-11-17 | 2023-01-03 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-11-17 | 2023-01-03 | N |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2022-11-17 | 2023-01-03 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2022-11-17 | 2023-01-03 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-17 | 2023-01-03 | N |
| Dispose of garbage and refuse properly. | Health | 2022-11-17 | 2023-01-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-17 | 2023-01-03 | 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 | 2022-11-21 | 2022-12-09 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-21 | 2022-12-09 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-08-18 | 2022-09-26 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-08-18 | 2022-09-26 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-08-18 | 2022-09-26 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-08-18 | 2022-09-26 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2022-08-18 | 2022-09-26 | Y |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-08-18 | 2022-09-26 | Y |
| 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 | 2022-05-31 | 2022-06-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-05-31 | 2022-06-27 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2022-05-31 | 2022-06-27 | Y |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2021-11-09 | 2022-01-10 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2021-11-09 | 2022-01-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-11-09 | 2022-01-10 | 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 | 2021-11-09 | 2022-01-10 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-11-09 | 2022-01-10 | 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 | 2021-11-09 | 2022-01-10 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-11-09 | 2022-01-10 | N |
| Observe each nurse aide's job performance and give regular training. | Health | 2021-11-09 | 2022-01-10 | N |
| Ensure that residents are free from significant medication errors. | Health | 2021-11-09 | 2022-01-10 | N |
| Provide sufficient support personnel to safely and effectively carry out the functions of the food and nutrition service. | Health | 2021-11-09 | 2022-01-10 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-11-09 | 2022-01-10 | N |
| Dispose of garbage and refuse properly. | Health | 2021-11-09 | 2022-01-10 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-11-09 | 2022-01-10 | N |
| Implement a program that monitors antibiotic use. | Health | 2021-11-09 | 2022-01-10 | N |
| Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home. | Health | 2021-11-09 | 2022-01-10 | N |
| 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 | 2021-11-09 | 2022-01-10 | Y |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2021-11-09 | 2022-01-10 | Y |
| Ensure meals and snacks are served at times in accordance with resident?s needs, preferences, and requests. Suitable and nourishing alternative meals and snacks must be provided for residents who want to eat at non-traditional times or outside of scheduled meal times. | Health | 2021-11-09 | 2022-01-10 | Y |
| Ensure that residents are fully informed and understand their health status, care and treatments. | Health | 2021-11-09 | 2022-01-10 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2021-11-09 | 2022-01-10 | Y |
| Implement emergency and standby power systems. | Fire Safety | 2021-11-04 | 2021-12-17 | 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 | 2021-11-04 | 2021-12-17 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-11-04 | 2021-12-17 | N |
| Have properly installed hallway dispensers for alcohol-based hand rub. | Fire Safety | 2021-11-04 | 2021-12-17 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-11-04 | 2021-12-17 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2021-11-04 | 2021-12-17 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2021-11-04 | 2021-12-17 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2021-08-31 | 2021-10-18 | 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 | 2021-08-31 | 2021-10-18 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2021-03-02 | 2021-03-29 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-09-02 | 2020-10-23 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-09-02 | 2020-10-16 | N |
| Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. | Health | 2020-09-02 | 2020-10-16 | N |
| Provide activities to meet all resident's needs. | Health | 2020-09-02 | 2020-10-16 | 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 | 2020-09-02 | 2020-10-16 | 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 | 2020-09-02 | 2020-10-16 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-02 | 2020-10-16 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2020-09-02 | 2020-10-16 | 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 | 2020-09-02 | 2020-10-16 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2020-09-02 | 2020-10-16 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2020-09-08 | 2020-10-16 | N |
| Provide a means of sharing information on occupancy/needs. | Fire Safety | 2020-09-08 | 2020-10-16 | 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 | 2020-09-08 | 2020-10-16 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-08 | 2020-10-16 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2020-09-08 | 2020-10-16 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2020-09-08 | 2020-10-16 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2020-09-08 | 2020-10-16 | N |
| Have power receptacles that are properly grounded. | Fire Safety | 2020-09-08 | 2020-10-16 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2020-09-08 | 2020-10-16 | 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 | 2020-09-02 | 2020-10-09 | N |
