Deficiency Records for Loretto Health and Rehabilitation Center

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Updated as of March 01, 2024

A list of the most recent deficiencies for Loretto Health and 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?
Respond appropriately to all alleged violations. Health 2023-06-22 2023-08-21 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2023-06-22 2023-08-21 Y
Install an approved automatic sprinkler system. Fire Safety 2022-09-23 2022-11-22 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2022-09-23 2022-11-18 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2022-09-23 2022-11-18 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-09-23 2022-11-18 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 2022-09-23 2022-11-18 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-09-23 2022-11-18 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-09-23 2022-11-18 Y
Ensure that residents are free from significant medication errors. Health 2022-09-23 2022-11-18 Y
Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. Fire Safety 2022-09-23 2022-11-18 N
Install a fire alarm system that can be heard throughout the facility. Fire Safety 2022-09-23 2022-11-18 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-09-23 2022-11-18 N
Ensure proper usage of power strips and extension cords. Fire Safety 2022-09-23 2022-11-18 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2021-08-04 2021-10-01 Y
Reasonably accommodate the needs and preferences of each resident. Health 2020-01-08 2020-03-06 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2020-01-08 2020-03-06 N
Respond appropriately to all alleged violations. Health 2020-01-08 2020-03-06 N
Encode each resident?s assessment data and transmit these data to the State within 7 days of assessment. Health 2020-01-08 2020-03-06 N
Honor each resident's preferences, choices, values and beliefs. Health 2020-01-08 2020-03-06 N
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2020-01-08 2020-03-06 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 2020-01-08 2020-03-06 N
Ensure medication error rates are not 5 percent or greater. Health 2020-01-08 2020-03-06 N
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Health 2020-01-08 2020-03-06 N
Ensure gas and vacuum piping is labeled. Fire Safety 2020-01-07 2020-03-06 N
Ensure proper usage of power strips and extension cords. Fire Safety 2020-01-07 2020-03-06 N
Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. Health 2018-07-02 2018-08-25 N
Respond appropriately to all alleged violations. Health 2018-07-02 2018-08-25 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2018-07-02 2018-08-25 N
Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. Health 2018-07-02 2018-08-25 N
Provide enough food/fluids to maintain a resident's health. Health 2018-07-02 2018-08-25 N
Have an enclosure around a vertical opening shaft. Fire Safety 2018-06-29 2018-08-24 N
Install an approved automatic sprinkler system. Fire Safety 2018-06-29 2018-08-24 N
Inspect, test, and maintain automatic sprinkler systems. Fire Safety 2018-06-29 2018-08-24 N
Ensure proper usage of power strips and extension cords. Fire Safety 2018-06-29 2018-08-24 N