A list of the most recent deficiencies for Isabella Geriatric Center Inc. 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? |
|---|---|---|---|---|
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-16 | 2023-02-13 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2022-12-16 | 2023-02-10 | N |
| Address subsistence needs for staff and patients. | Fire Safety | 2022-12-16 | 2023-02-08 | 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 | 2022-12-16 | 2023-02-08 | 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 | 2022-12-16 | 2023-01-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-12-16 | 2023-01-27 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-12-16 | 2023-01-27 | 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 | 2022-12-16 | 2023-01-27 | 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 | 2022-12-16 | 2023-01-27 | N |
| Provide the appropriate treatment and services to a resident who displays or is diagnosed with dementia. | Health | 2022-12-16 | 2023-01-27 | 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 | 2022-12-16 | 2023-01-27 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-12-16 | 2023-01-27 | Y |
| Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. | Health | 2022-12-16 | 2023-01-26 | N |
| Assure the security of all personal funds of residents deposited with the facility. | Health | 2022-12-16 | 2023-01-20 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2022-12-16 | 2023-01-15 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2022-12-16 | 2023-01-14 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-16 | 2023-01-13 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2021-07-13 | 2021-09-04 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2021-07-13 | 2021-09-04 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-11-19 | 2020-12-30 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-11-19 | 2020-12-30 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2020-11-19 | 2020-12-29 | N |
| Have proper power supply for life support equipment. | Fire Safety | 2018-10-30 | 2018-12-29 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2018-10-30 | 2018-12-29 | N |
| Honor the resident's right to choose his or her attending physician. | Health | 2018-10-30 | 2018-12-27 | N |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2018-10-30 | 2018-12-27 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2018-10-30 | 2018-12-27 | N |
| Properly hold, secure, and manage each resident's personal money which is deposited with the nursing home. | Health | 2018-10-30 | 2018-12-27 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-10-30 | 2018-12-27 | 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 | 2018-10-30 | 2018-12-27 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-10-30 | 2018-12-27 | N |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2018-10-30 | 2018-12-27 | N |
| Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. | Health | 2018-10-30 | 2018-12-27 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-10-30 | 2018-12-27 | N |
