Deficiency Records for Gateway Rehabilitation and Healthcare

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Updated as of March 01, 2024

A list of the most recent deficiencies for Gateway Rehabilitation and Healthcare. 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?
Allow residents to self-administer drugs if determined clinically appropriate. Health 2023-10-24 2023-11-20 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-10-24 2023-11-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-10-24 2023-11-20 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-10-24 2023-11-20 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-10-24 2023-11-20 Y
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2023-09-08 2023-11-20 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2023-09-08 2023-11-20 Y
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2023-09-08 2023-11-20 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-09-08 2023-11-20 Y
Have exits that are accessible at all times. Fire Safety 2023-10-10 2023-10-23 N
Have approved installation, maintenance and testing program for fire alarm systems. Fire Safety 2023-10-10 2023-10-23 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2023-10-10 2023-10-23 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 2023-09-08 2023-10-03 N
Ensure each resident receives an accurate assessment. Health 2023-09-08 2023-10-03 N
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Health 2023-09-08 2023-10-03 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 2023-09-08 2023-10-03 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2023-09-08 2023-10-03 N
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 2023-09-08 2023-10-03 N
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. Health 2023-09-08 2023-10-03 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 2023-09-08 2023-10-03 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 2023-09-08 2023-10-03 Y
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift. Health 2023-09-08 2023-10-03 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2023-06-01 2023-06-27 Y
Ensure necessary information is communicated to the resident, and receiving health care provider at the time of a planned discharge. Health 2023-06-01 2023-06-27 Y
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2023-06-01 2023-06-27 Y
Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Health 2022-05-26 2022-06-13 Y
Develop and implement policies and procedures to prevent abuse, neglect, and theft. Health 2022-05-26 2022-06-13 Y
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2022-05-26 2022-06-13 Y
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2022-05-12 2022-06-03 N
Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. Health 2022-03-21 2022-04-21 N
Keep residents' personal and medical records private and confidential. Health 2022-03-21 2022-04-21 N
Ensure each resident receives an accurate assessment. Health 2022-03-21 2022-04-21 N
Notify the appropriate authorities when residents with MD or ID services has a significant change in condition. Health 2022-03-21 2022-04-21 N
Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted Health 2022-03-21 2022-04-21 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 2022-03-21 2022-04-21 N
Plan the resident's discharge to meet the resident's goals and needs. Health 2022-03-21 2022-04-21 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 2022-03-21 2022-04-21 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 2022-03-21 2022-04-21 N
Post nurse staffing information every day. Health 2022-03-21 2022-04-21 N
Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder. Health 2022-03-21 2022-04-21 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 2022-03-21 2022-04-21 N
Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. Health 2022-03-21 2022-04-21 N
Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Health 2022-03-21 2022-04-21 Y
Provide care and assistance to perform activities of daily living for any resident who is unable. Health 2022-03-21 2022-04-21 Y
Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited. Health 2022-03-21 2022-04-21 Y
Develop and implement policies and procedures for flu and pneumonia vaccinations. Health 2022-01-10 2022-03-21 N
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged. Health 2022-01-10 2022-03-21 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 2022-01-10 2022-03-21 Y
Permit a resident to return to the nursing home after hospitalization or therapeutic leave that exceeds bed-hold policy. Health 2022-01-10 2022-03-21 Y
Provide and implement an infection prevention and control program. Health 2022-01-10 2022-03-21 Y
Give the resident's representative the ability to exercise the resident's rights. Health 2021-09-07 2021-09-29 Y
Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Health 2021-09-07 2021-09-29 Y
Provide appropriate treatment and care according to orders, resident?s preferences and goals. Health 2021-09-07 2021-09-29 Y
Administer the facility in a manner that enables it to use its resources effectively and efficiently. Health 2021-09-07 2021-09-29 Y
Have exits that are accessible at all times. Fire Safety 2021-07-07 2021-07-19 N
Have generator or other power source capable of supplying service within 10 seconds. Fire Safety 2021-07-07 2021-07-19 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 2020-02-28 2020-03-26 N
Provide appropriate pressure ulcer care and prevent new ulcers from developing. Health 2020-02-28 2020-03-26 N
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Health 2020-02-28 2020-03-26 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 2020-02-28 2020-03-26 N
Provide safe and appropriate respiratory care for a resident when needed. Health 2020-02-28 2020-03-26 N
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Health 2020-02-28 2020-03-26 N
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Health 2020-02-28 2020-03-26 N
Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. Health 2020-02-28 2020-03-26 N