CONTACT INFORMATION REVIEWS & MORE DATA
Deficiency Records for Livingston Hills Nursing and Rehabilitation Center
View the most recent health deficiencies and inspection results for Livingston Hills Nursing and Rehabilitation Center. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Livingston Hills Nursing and Rehabilitation Center. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2025-07-30 | 2025-11-29 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2025-07-30 | 2025-11-29 | N |
| 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 | 2025-07-30 | 2025-11-29 | N |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2025-07-30 | 2025-11-24 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2025-07-30 | 2025-10-30 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2025-07-30 | 2025-10-17 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-07-30 | 2025-09-26 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2025-07-30 | 2025-09-26 | N |
| Provide activities to meet all resident's needs. | Health | 2025-07-30 | 2025-09-26 | N |
| Honor each resident's preferences, choices, values and beliefs. | Health | 2025-07-30 | 2025-09-26 | 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 | 2025-07-30 | 2025-09-26 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2025-07-30 | 2025-09-26 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-07-30 | 2025-09-26 | 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 | 2025-07-30 | 2025-09-26 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2025-07-30 | 2025-09-26 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2025-07-30 | 2025-09-26 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2025-07-30 | 2025-09-26 | 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 | 2025-07-30 | 2025-09-26 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-07-30 | 2025-09-26 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2025-07-30 | 2025-09-26 | 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 | 2025-07-30 | 2025-09-26 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2025-07-30 | 2025-09-26 | N |
| Post nurse staffing information every day. | Health | 2025-07-30 | 2025-09-26 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2025-07-30 | 2025-09-26 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2025-07-30 | 2025-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-30 | 2025-09-26 | N |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2025-07-30 | 2025-09-26 | Y |
| Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident. | Health | 2025-07-30 | 2025-09-26 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2025-07-30 | 2025-09-26 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2025-07-30 | 2025-09-26 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2025-07-30 | 2025-09-26 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-07-30 | 2025-09-26 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2025-07-30 | 2025-09-26 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2025-07-30 | 2025-09-26 | N |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-07-30 | 2025-09-26 | N |
| Address patient/client population and determine types of services needed. | Fire Safety | 2025-07-30 | 2025-09-26 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2025-07-14 | 2025-09-25 | Y |
| Provide and implement an infection prevention and control program. | Health | 2025-07-14 | 2025-09-25 | Y |
| Have a Compliance and Ethics Program. | Health | 2025-07-14 | 2025-09-25 | Y |
| Develop, implement, and/or maintain an effective training program for all new and existing staff members. | Health | 2025-07-14 | 2025-09-25 | Y |
| Dispose of garbage and refuse properly. | Health | 2024-05-23 | 2024-09-09 | 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 | 2024-05-23 | 2024-09-09 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-23 | 2024-09-09 | Y |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-05-23 | 2024-09-09 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2024-05-23 | 2024-09-09 | 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 | 2024-05-23 | 2024-09-06 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2024-05-23 | 2024-09-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-01 | 2024-09-01 | 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 | 2024-05-01 | 2024-09-01 | Y |
| Make sure there is a pest control program to prevent/deal with mice, insects, or other pests. | Health | 2024-05-01 | 2024-09-01 | Y |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-08-30 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2024-05-23 | 2024-08-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2024-05-01 | 2024-08-16 | Y |
| Respond appropriately to all alleged violations. | Health | 2024-05-01 | 2024-08-16 | Y |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2024-05-01 | 2024-08-09 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-01 | 2024-08-08 | Y |
| Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. | Health | 2024-05-01 | 2024-08-06 | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2024-05-01 | 2024-08-06 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-01 | 2024-08-06 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2024-05-01 | 2024-08-06 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2024-05-01 | 2024-08-06 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2024-05-01 | 2024-08-06 | Y |
| Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies. | Health | 2024-05-01 | 2024-08-06 | 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 | 2024-05-23 | 2024-07-31 | 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 | 2024-05-23 | 2024-07-31 | Y |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2024-05-23 | 2024-07-31 | Y |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2024-05-23 | 2024-07-31 | Y |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2024-05-23 | 2024-07-31 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2024-05-23 | 2024-07-31 | 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 | 2024-05-23 | 2024-07-31 | 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 | 2024-05-23 | 2024-07-31 | Y |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-05-23 | 2024-07-31 | Y |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2024-05-23 | 2024-07-31 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-05-23 | 2024-07-31 | Y |
| Provide and implement an infection prevention and control program. | Health | 2024-05-23 | 2024-07-31 | Y |
| Assess the resident when there is a significant change in condition | Health | 2024-05-23 | 2024-07-24 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2024-05-23 | 2024-07-24 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2024-05-23 | 2024-07-24 | Y |
| Establish policies and procedures for medical documentation. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Have posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Ensure precautions for handling oxygen cylinders and equipment are correctly followed. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Have exits that are accessible at all times. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Establish staff and initial training requirements. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Install proper backup exit lighting. | Fire Safety | 2024-05-23 | 2024-07-23 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2024-05-23 | 2024-07-19 | 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 | 2024-05-23 | 2024-07-19 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2024-05-23 | 2024-07-19 | N |
| Establish a governing body that is legally responsible for establishing and implementing policies for managing and operating the facility and appoints a properly licensed administrator responsible for managing the facility. | Health | 2024-05-23 | 2024-07-16 | 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 | 2023-05-10 | 2023-08-08 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-10 | 2023-08-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-05-10 | 2023-08-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-05-10 | 2023-07-07 | N |
| Notify the resident or the resident?s representative in writing how long the nursing home will hold the resident?s bed in cases of transfer to a hospital or therapeutic leave. | Health | 2023-05-10 | 2023-07-07 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-05-10 | 2023-07-07 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-07-07 | 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 | 2023-05-10 | 2023-07-07 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2023-05-10 | 2023-07-07 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-10 | 2023-07-07 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-05-23 | Not Fixed | N |