Deficiency Records for Uptown Rehabilitation Center
Updated as of August 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 |