Deficiency Records for Acadia Center For Nursing and Rehabilitation
Updated as of March 01, 2024
A list of the most recent deficiencies for Acadia Center For Nursing and Rehabilitation. 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? |
|---|---|---|---|---|
| Address subsistence needs for staff and patients. | Fire Safety | 2023-02-07 | 2023-04-07 | N |
| Install proper backup exit lighting. | Fire Safety | 2023-02-07 | 2023-04-07 | 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 | 2023-02-07 | 2023-04-07 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-02-07 | 2023-04-07 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-02-07 | 2023-04-07 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2023-02-07 | 2023-04-07 | N |
| Ensure that building systems meet requirements determined by risk assessment procedures performed by qualified personnel. | Fire Safety | 2023-02-07 | 2023-04-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-02-07 | 2023-04-07 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-02-07 | 2023-04-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-02-07 | 2023-04-06 | N |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2023-02-07 | 2023-04-06 | N |
| Ensure that residents are free from significant medication errors. | Health | 2023-02-07 | 2023-04-06 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-02-07 | 2023-04-06 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-02-07 | 2023-04-06 | Y |
| Have proper medical gas storage and administration areas. | Fire Safety | 2020-02-24 | 2020-08-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-24 | 2020-04-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2020-02-24 | 2020-04-10 | N |
| Ensure each resident receives an accurate assessment. | Health | 2018-11-21 | 2019-01-19 | 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 | 2018-11-21 | 2019-01-19 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2018-11-21 | 2019-01-19 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2018-11-21 | 2019-01-19 | N |
