Deficiency Records for The Pearl Nursing Center of Rochester
Updated as of March 01, 2024
A list of the most recent deficiencies for The Pearl Nursing Center of Rochester. 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 | 2022-12-16 | 2023-03-09 | Y |
| Make sure that a working call system is available in each resident's bathroom and bathing area. | Health | 2022-12-16 | 2023-03-09 | Y |
| Conduct risk assessment and an All-Hazards approach. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Develop a communication plan. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Establish emergency prep training and testing. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Establish staff and initial training requirements. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Install proper backup exit lighting. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2022-12-16 | 2023-02-21 | 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 | 2022-12-16 | 2023-02-21 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Ensure that corridors are separated from use areas by walls constructed to limit the passage of smoke. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Provide properly sized and located linen or trash receptacles. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Have restrictions on the use of portable space heaters. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Ensure proper usage of power strips and extension cords. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Have proper medical gas storage and administration areas. | Fire Safety | 2022-12-16 | 2023-02-21 | N |
| Develop and implement policies and procedures to prevent abuse, neglect, and theft. | Health | 2022-12-16 | 2023-02-14 | N |
| Dispose of garbage and refuse properly. | Health | 2022-12-16 | 2023-02-14 | 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 | 2022-12-16 | 2023-02-14 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-12-16 | 2023-02-14 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-12-16 | 2023-02-14 | Y |
| Respond appropriately to all alleged violations. | Health | 2022-12-16 | 2023-02-14 | Y |
| 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 | 2022-12-16 | 2023-02-14 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2022-12-16 | 2023-02-14 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2022-12-16 | 2023-02-14 | Y |
| Provide or get specialized rehabilitative services as required for a resident. | Health | 2022-12-16 | 2023-02-14 | Y |
| Keep all essential equipment working safely. | Health | 2022-12-16 | 2023-02-14 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2022-07-27 | 2022-09-15 | Y |
| Provide care and assistance to perform activities of daily living for any resident who is unable. | Health | 2022-07-27 | 2022-09-15 | Y |
| Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis. | Health | 2022-07-27 | 2022-09-15 | 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 | 2022-05-26 | 2022-07-08 | Y |
| Reasonably accommodate the needs and preferences of each resident. | Health | 2020-09-14 | 2020-11-02 | 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 | 2020-09-14 | 2020-11-02 | N |
| Ensure residents do not lose the ability to perform activities of daily living unless there is a medical reason. | Health | 2020-09-14 | 2020-11-02 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2020-09-14 | 2020-11-02 | N |
| Have corridors or aisles that are unobstructed and are at least 8 feet in width. | Fire Safety | 2020-09-14 | 2020-11-02 | 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 | 2020-09-14 | 2020-11-02 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2020-09-14 | 2020-11-02 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2020-09-14 | 2020-11-02 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2020-09-14 | 2020-11-02 | 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 | 2019-12-16 | 2020-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-12-16 | 2020-01-30 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-16 | 2020-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-12-16 | 2020-01-30 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-12-16 | 2020-01-30 | 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 | 2019-12-16 | 2020-01-30 | N |
