Deficiency Records for Harlem Ctr For Nursing and Rehabilitation, L L C
Updated as of March 01, 2024
A list of the most recent deficiencies for Harlem Ctr For Nursing and Rehabilitation, L L C. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2023-03-17 | 2023-05-22 | 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 | 2023-03-16 | 2023-05-11 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2023-03-16 | 2023-05-11 | 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 | 2023-03-16 | 2023-05-11 | N |
| Provide appropriate care/assistance for a resident with a prosthesis. | Health | 2023-03-16 | 2023-05-11 | N |
| Try different approaches before using a bed rail. If a bed rail is needed, the facility must (1) assess a resident for safety risk; (2) review these risks and benefits with the resident/representative; (3) get informed consent; and (4) Correctly install and maintain the bed rail. | Health | 2023-03-16 | 2023-05-11 | N |
| 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 | 2023-03-16 | 2023-05-11 | N |
| Ensure staff are vaccinated for COVID-19 | Health | 2023-03-16 | 2023-05-11 | N |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2023-03-16 | 2023-05-11 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-03-16 | 2023-05-11 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2023-03-16 | 2023-05-11 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2023-03-17 | 2023-05-11 | 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 | 2023-03-17 | 2023-05-11 | N |
| Have stairways and smokeproof enclosures used as exits that meet safety requirements. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Have ramps, exits, fire escape ladders, steps, and areas of refuge that meet safety requirements. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Install emergency lighting that can last at least 1 1/2 hours. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Install smoke barrier doors that can resist smoke for at least 20 minutes. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2023-03-17 | 2023-05-11 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2020-02-27 | 2020-04-22 | 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 | 2020-02-27 | 2020-04-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2020-02-27 | 2020-04-22 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2020-02-27 | 2020-04-22 | N |
| Ensure each resident must receive and the facility must provide necessary behavioral health care and services. | Health | 2020-02-27 | 2020-04-22 | N |
| Provide and implement an infection prevention and control program. | Health | 2020-02-27 | 2020-04-22 | N |
| Put firmly secured handrails on each side of hallways. | Health | 2020-02-27 | 2020-04-22 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-02-27 | 2020-04-22 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2020-02-27 | 2020-04-22 | N |
| Have properly sized and located compartments to protect residents from smoke. | Fire Safety | 2020-02-27 | 2020-04-22 | 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 | 2018-09-25 | 2018-11-19 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2018-09-25 | 2018-11-19 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2018-09-25 | 2018-11-19 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2018-09-25 | 2018-11-19 | N |
| Install properly constructed and protected linen or trash chutes. | Fire Safety | 2018-09-25 | 2018-11-19 | 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 | 2018-09-25 | 2018-11-16 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-09-25 | 2018-11-16 | N |
