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Deficiency Records for Liberty Commons Nursing and Rehab Center of Southpor
View the most recent health deficiencies and inspection results for Liberty Commons Nursing and Rehab Center of Southpor. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Liberty Commons Nursing and Rehab Center of Southpor. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2025-11-19 | 2025-11-25 | Y |
| Properly select, install, inspect, or maintain portable fire extinguishes. | Fire Safety | 2025-05-01 | 2025-07-12 | N |
| Ensure receptacles at patient bed locations and where general anesthesia is administered, are tested after initial installation, replacement or servicing. | Fire Safety | 2025-05-01 | 2025-07-12 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2025-05-01 | 2025-07-12 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2025-05-01 | 2025-05-21 | 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 | 2025-05-01 | 2025-05-21 | N |
| Provide timely, quality laboratory services/tests to meet the needs of residents. | Health | 2025-05-01 | 2025-05-21 | N |
| Provide and implement an infection prevention and control program. | Health | 2025-05-01 | 2025-05-21 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2025-05-01 | 2025-05-21 | Y |
| Meet other general requirements. | Fire Safety | 2024-03-07 | 2024-05-17 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-03-07 | 2024-05-17 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-03-07 | 2024-05-17 | 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 | 2024-03-07 | 2024-03-29 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-03-07 | 2024-03-29 | N |
| Ensure that residents are free from significant medication errors. | Health | 2024-03-07 | 2024-03-29 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2024-03-07 | 2024-03-29 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2024-03-07 | 2024-03-29 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2024-03-07 | 2024-03-29 | N |
| Assist a resident in gaining access to vision and hearing services. | Health | 2024-03-07 | 2024-03-29 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2022-11-21 | 2023-02-04 | N |
| Use approved construction type or materials. | Fire Safety | 2022-11-21 | 2023-02-04 | N |
| Keep all essential equipment working safely. | Health | 2022-11-21 | 2023-01-05 | N |
| Provide and implement an infection prevention and control program. | Health | 2022-11-21 | 2023-01-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2022-11-21 | 2023-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-11-21 | 2023-01-05 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2022-11-21 | 2023-01-05 | 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 | 2022-11-21 | 2023-01-05 | 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 | 2022-11-21 | 2023-01-05 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-11-21 | 2023-01-05 | 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 | 2022-11-21 | 2023-01-05 | N |
| Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being. | Health | 2022-11-21 | 2023-01-05 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2022-11-21 | 2023-01-05 | 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 | 2022-11-21 | 2023-01-05 | 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 | 2022-11-21 | 2023-01-05 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-11-21 | 2023-01-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2022-11-21 | 2023-01-05 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2022-11-21 | 2022-12-23 | 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 | 2022-11-21 | 2022-12-22 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2022-11-21 | 2022-12-22 | N |