Deficiency Records for Uptown Rehabilitation Center
Updated as of April 01, 2020
This is not the most recent data for Uptown Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| 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 | 2019-11-22 | 2019-12-20 | 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 | 2019-11-22 | 2019-12-20 | 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 | 2019-11-22 | 2019-12-20 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-11-22 | 2019-12-20 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-09-26 | 2019-10-25 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-09-26 | 2019-10-25 | Y |
| Address patient/client population and determine types of services needed. | Fire Safety | 2019-01-08 | 2019-02-21 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2019-01-08 | 2019-02-21 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-01-08 | 2019-02-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2019-01-08 | 2019-02-21 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2019-01-08 | 2019-02-21 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-01-08 | 2019-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-08 | 2019-02-21 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-01-10 | 2019-02-18 | 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 | 2019-01-10 | 2019-02-18 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-01-10 | 2019-02-18 | 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 | 2019-01-10 | 2019-02-18 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-01-10 | 2019-02-18 | N |
| Ensure that residents are free from significant medication errors. | Health | 2019-01-10 | 2019-02-18 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-01-10 | 2019-02-18 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-10 | 2019-02-18 | N |
| Keep all essential equipment working safely. | Health | 2019-01-10 | 2019-02-18 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2019-01-10 | 2019-02-18 | 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 | 2017-12-13 | 2018-03-14 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2017-12-13 | 2018-03-14 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Provide primary/alternate means for communication. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Establish methods for sharing information. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Establish emergency prep training and testing. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Establish staff and initial training requirements. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Meet the requirements of an integrated health system. | Fire Safety | 2017-12-06 | 2018-01-15 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-12-06 | 2018-01-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2017-12-06 | 2018-01-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2017-12-06 | 2018-01-06 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2017-12-06 | 2018-01-06 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2017-12-06 | 2018-01-06 | 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 | 2017-12-06 | 2018-01-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2017-12-06 | 2018-01-05 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2017-12-13 | 2018-01-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-12-13 | 2018-01-05 | 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 | 2017-12-13 | 2018-01-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2017-12-13 | 2018-01-05 | 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 | 2017-12-13 | 2018-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2017-12-13 | 2018-01-05 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2017-12-13 | 2018-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2017-12-13 | 2018-01-05 | 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 | 2017-12-06 | 2018-01-03 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2017-08-31 | 2017-09-30 | Y |
| Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality. | Health | 2017-08-31 | 2017-09-30 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2017-08-31 | 2017-09-30 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-31 | 2017-09-30 | Y |
| Coordinate assessments with the pre-admission screening and resident review program for mentally-ill and mentally-retarded patients. | Health | 2017-08-31 | 2017-08-16 | Y |
| Automatic sprinkler systems that have been maintained in working order. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
| Properly protected cooking facilities. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
| Proper medical gas storage and administration areas. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
| Have proper fire barriers, ventilation and signs for the transfilling of oxygen. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
| Properly installed electrical wiring and equipment. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2016-10-19 | 2016-11-17 | N |
| Ensure residents have the right to have a choice over activities, their schedules, and health care according to their interests, assessments, and plans of care. | Health | 2016-10-18 | 2016-11-17 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2016-10-18 | 2016-11-17 | N |
| Allow residents the right to participate in the planning or revision of care and treatment. | Health | 2016-10-18 | 2016-11-17 | N |
| Ensure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion. | Health | 2016-10-18 | 2016-11-17 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2016-10-18 | 2016-11-17 | N |
| Store, cook, and serve food in a safe and clean way. | Health | 2016-10-18 | 2016-11-17 | N |
| Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards. | Health | 2016-10-18 | 2016-11-17 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2016-10-18 | 2016-11-17 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2016-10-18 | 2016-10-28 | N |
