Deficiency Records for Pathways Nursing and Rehabilitation Center
Updated as of April 01, 2024
A list of the most recent deficiencies for Pathways 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? |
|---|---|---|---|---|
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-13 | 2023-11-12 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-04-19 | 2022-06-17 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2021-11-26 | 2022-01-17 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-09-27 | 2021-11-22 | Y |
| Ensure the resident's doctor reviews the resident's care, writes, signs and dates progress notes and orders, at each required visit. | Health | 2021-09-27 | 2021-11-22 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2021-09-27 | 2021-11-22 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-12-10 | 2020-02-03 | N |
| Provide activities to meet all resident's needs. | Health | 2019-12-10 | 2020-02-03 | 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 | 2019-12-10 | 2020-02-03 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-12-10 | 2020-02-03 | N |
| Provide and implement an infection prevention and control program. | Health | 2019-12-10 | 2020-02-03 | N |
| Conduct testing and exercise requirements. | Fire Safety | 2019-12-10 | 2020-02-03 | N |
| Provide exit doors that are held open by devices that will automatically close on the activation of a fire alarm or smoke detector. | Fire Safety | 2019-12-10 | 2020-02-03 | N |
| Have an enclosure around a vertical opening shaft. | Fire Safety | 2019-12-10 | 2020-02-03 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2019-12-10 | 2020-02-03 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-12-10 | 2020-02-03 | 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 | 2018-11-30 | 2019-01-28 | N |
| Dispose of garbage and refuse properly. | Health | 2018-11-30 | 2019-01-28 | N |
| Provide and implement an infection prevention and control program. | Health | 2018-11-30 | 2019-01-28 | N |
| Establish roles under a Waiver declared by secretary. | Fire Safety | 2018-12-03 | 2018-12-28 | N |
| Establish policies and procedures including evacuation. | Fire Safety | 2018-12-03 | 2018-12-21 | N |
| Establish policies and procedures for medical documentation. | Fire Safety | 2018-12-03 | 2018-12-21 | N |
| Ensure that gas containers are correctly designed and tested, and in locations that are labeled. | Fire Safety | 2018-12-03 | 2018-12-21 | N |
