Deficiency Records for Loretto Health and Rehabilitation Center
Updated as of June 01, 2021
This is not the most recent data for Loretto Health and Rehabilitation Center. For the most recent information, click here.
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? |
|---|---|---|---|---|
| Provide and implement an infection prevention and control program. | Health | 2020-09-17 | 2020-11-13 | Y |
| 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 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 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 |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-01-08 | 2020-03-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2020-01-08 | 2020-03-06 | Y |
| 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 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-07-02 | 2018-08-25 | Y |
| 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 |
| Let residents refuse treatment, refuse to take part in an experiment, or formulate advance directives. | Health | 2017-02-16 | 2017-04-14 | 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 | 2017-02-16 | 2017-04-14 | N |
| Provide medically-related social services to help each resident achieve the highest possible quality of life. | Health | 2017-02-16 | 2017-04-14 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-02-16 | 2017-04-14 | N |
| Provide necessary care and services to maintain or improve the highest well being of each resident . | Health | 2017-02-16 | 2017-04-14 | N |
| Give residents proper treatment to prevent new bed (pressure) sores or heal existing bed sores. | Health | 2017-02-16 | 2017-04-14 | N |
| Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents. | Health | 2017-02-16 | 2017-04-14 | N |
| Ensure residents maintain acceptable nutritional status. | Health | 2017-02-16 | 2017-04-14 | N |
| Give each resident enough fluids to keep them healthy and prevent dehydration. | Health | 2017-02-16 | 2017-04-14 | N |
| Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. | Health | 2017-02-16 | 2017-04-14 | N |
| Have a program that investigates, controls and keeps infection from spreading. | Health | 2017-02-16 | 2017-04-14 | N |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-02-16 | 2017-04-14 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2017-02-14 | 2017-03-06 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2017-02-14 | 2017-03-06 | 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 | 2017-02-14 | 2017-03-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2017-02-14 | 2017-03-06 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2017-02-14 | 2017-03-06 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2017-02-14 | 2017-03-06 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2017-02-14 | 2017-03-06 | N |
