Deficiency Records for Livingston Hills Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Livingston Hills Nursing 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? |
|---|---|---|---|---|
| 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 | Y |
| 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 |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-05-12 | 2023-08-04 | N |
| Honor the resident's right to receive visitors of his or her choosing, at the time of his or her choosing. | Health | 2023-05-10 | 2023-07-07 | Y |
| 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 |
| Provide and implement an infection prevention and control program. | Health | 2023-05-10 | 2023-07-07 | N |
| Put firmly secured handrails on each side of hallways. | 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 | Y |
| Conduct testing and exercise requirements. | Fire Safety | 2023-05-12 | 2023-07-07 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-05-12 | 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 | 2023-05-12 | 2023-07-07 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2023-05-12 | 2023-07-07 | N |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-05-12 | 2023-07-07 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-05-12 | 2023-07-07 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2023-05-12 | 2023-07-07 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2023-05-12 | 2023-07-07 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2023-05-12 | 2023-07-07 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2022-09-20 | 2022-11-04 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2022-09-20 | 2022-11-04 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2022-09-20 | 2022-11-04 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-09-20 | 2022-11-04 | Y |
| Plan the resident's discharge to meet the resident's goals and needs. | Health | 2022-09-20 | 2022-11-04 | Y |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-09-20 | 2022-11-04 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2022-09-20 | 2022-11-04 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-03-11 | 2022-04-30 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-03-11 | 2022-04-30 | 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 | 2021-04-14 | 2021-06-08 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-04-14 | 2021-06-08 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2021-04-14 | 2021-06-08 | 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 | 2021-04-14 | 2021-06-08 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-04-14 | 2021-06-08 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2021-04-14 | 2021-06-08 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2021-04-14 | 2021-06-08 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2021-04-14 | 2021-06-08 | Y |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2021-04-14 | 2021-06-08 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2021-04-14 | 2021-06-08 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2021-04-14 | 2021-06-08 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-04-14 | 2021-06-08 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-04-14 | 2021-06-08 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2021-04-14 | 2021-06-08 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2021-04-14 | 2021-06-08 | N |
| Provide and implement an infection prevention and control program. | Health | 2021-04-14 | 2021-05-31 | N |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2021-04-14 | 2021-05-31 | Y |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-04-05 | 2019-06-27 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2019-04-05 | 2019-06-25 | 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 | 2019-04-05 | 2019-06-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-04-05 | 2019-06-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-04-05 | 2019-06-19 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2019-04-05 | 2019-06-17 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2019-04-05 | 2019-06-14 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-04-05 | 2019-06-06 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-04-05 | 2019-06-04 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2019-04-05 | 2019-06-04 | N |
| Ensure residents have reasonable access to and privacy in their use of communication methods. | Health | 2019-04-05 | 2019-06-04 | N |
| Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. | Health | 2019-04-05 | 2019-06-04 | 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 | 2019-04-05 | 2019-06-04 | N |
| Respond appropriately to all alleged violations. | Health | 2019-04-05 | 2019-06-04 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-04-05 | 2019-06-04 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2019-04-05 | 2019-06-04 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-04-05 | 2019-06-04 | 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 | 2019-04-05 | 2019-06-04 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2019-04-05 | 2019-06-04 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2019-04-05 | 2019-06-04 | N |
| Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care. | Health | 2019-04-05 | 2019-06-04 | 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 | 2019-04-05 | 2019-06-04 | 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 | 2019-04-05 | 2019-06-04 | N |
| Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. | Health | 2019-04-05 | 2019-06-04 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2019-04-05 | 2019-06-04 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-04-05 | 2019-06-04 | N |
| Dispose of garbage and refuse properly. | Health | 2019-04-05 | 2019-06-04 | N |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2019-04-05 | 2019-06-04 | N |
| Ensure the facility is licensed under applicable State and local law and operates and provides services in compliance with all applicable Federal, State, and local laws, regulations, and codes, and with accepted professional standards. | Health | 2019-04-05 | 2019-06-04 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-04-05 | 2019-06-04 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-04-05 | 2019-06-04 | N |
| Establish staff and initial training requirements. | Fire Safety | 2019-04-05 | 2019-06-04 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-04-05 | 2019-06-04 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-04-05 | 2019-06-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-04-05 | 2019-06-04 | N |
