Deficiency Records for Liberty Hc Svcs of Golden Years Nsg Ctr, LLC
Updated as of March 01, 2024
A list of the most recent deficiencies for Liberty Hc Svcs of Golden Years Nsg Ctr, LLC. 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? |
|---|---|---|---|---|
| Have simulated fire drills held at unexpected times. | Fire Safety | 2023-09-01 | 2023-10-02 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2023-08-03 | 2023-08-24 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-08-03 | 2023-08-24 | 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 | 2023-08-03 | 2023-08-24 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-08-03 | 2023-08-24 | 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 | 2022-05-25 | 2022-07-07 | Y |
| Ensure medication error rates are not 5 percent or greater. | Health | 2022-04-26 | 2022-05-25 | Y |
| Keep residents' personal and medical records private and confidential. | Health | 2022-03-18 | 2022-04-26 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-03-18 | 2022-04-26 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2022-03-18 | 2022-04-26 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2022-03-18 | 2022-04-26 | 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 | 2022-03-18 | 2022-04-26 | 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 | 2022-03-18 | 2022-04-15 | Y |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2022-03-18 | 2022-04-08 | N |
