Deficiency Records for Ghent Rehabilitation and Nursing Center
Updated as of March 01, 2024
A list of the most recent deficiencies for Ghent Rehabilitation and Nursing 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? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2023-09-01 | 2023-11-07 | Y |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-09-01 | 2023-10-23 | Y |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-09-01 | 2023-10-23 | Y |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-09-01 | 2023-10-23 | 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 | 2023-09-01 | 2023-10-16 | Y |
| Install a fire alarm system that can be heard throughout the facility. | Fire Safety | 2023-09-01 | 2023-10-16 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2023-09-01 | 2023-10-03 | Y |
| Provide properly protected cooking facilities. | Fire Safety | 2023-09-01 | 2023-09-10 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2023-09-01 | 2023-09-10 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-12-23 | 2022-02-25 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2021-06-09 | 2021-08-05 | 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 | 2021-06-09 | 2021-08-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-06-09 | 2021-08-05 | N |
| Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation. | Health | 2021-06-09 | 2021-08-05 | 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 | 2021-06-09 | 2021-08-05 | Y |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2021-06-09 | 2021-08-05 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2021-06-09 | 2021-08-05 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2021-06-09 | 2021-08-05 | N |
| To conduct inspection, testing and maintenance of fire doors by qualified individuals. | Fire Safety | 2021-06-09 | 2021-08-05 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2021-06-09 | 2021-08-05 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2021-05-14 | 2021-06-29 | Y |
| Establish policies and procedures for volunteers. | Fire Safety | 2019-05-22 | 2019-07-28 | N |
| Establish procedures for tracking staff and patients during an emergency. | Fire Safety | 2019-05-22 | 2019-06-28 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-05-22 | 2019-06-28 | N |
| Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | Health | 2019-05-22 | 2019-06-21 | N |
| Honor the resident's right to manage his or her financial affairs. | Health | 2019-05-22 | 2019-06-21 | N |
| Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment. | Health | 2019-05-22 | 2019-06-21 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-05-22 | 2019-06-21 | 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 | 2019-05-22 | 2019-06-21 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-05-22 | 2019-06-21 | 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 | 2019-05-22 | 2019-06-21 | 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 | 2019-05-22 | 2019-06-21 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2019-05-22 | 2019-06-21 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2019-05-22 | 2019-06-21 | N |
| Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised. | Health | 2019-05-22 | 2019-06-21 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-05-22 | 2019-06-21 | N |
| Have a policy regarding use and storage of foods brought to residents by family and other visitors. | Health | 2019-05-22 | 2019-06-21 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-05-22 | 2019-06-21 | N |
| Provide family notifications of emergency plan. | Fire Safety | 2019-05-22 | 2019-06-21 | N |
| Ensure that testing and maintenance of electrical equipment is performed. | Fire Safety | 2019-05-22 | 2019-06-21 | N |
| Ensure that personnel concerned with handling of medical gases and cylinders are trained on the risk. | Fire Safety | 2019-05-22 | 2019-06-21 | 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 | 2022-10-27 | Not Fixed | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2022-10-27 | Not Fixed | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2022-10-27 | Not Fixed | Y |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-10-27 | Not Fixed | Y |
| Ensure that residents are free from significant medication errors. | Health | 2022-10-27 | Not Fixed | 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 | 2022-10-27 | Not Fixed | Y |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2022-10-27 | Not Fixed | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2022-10-27 | Not Fixed | Y |
