Deficiency Records for Cary Health and Rehabilitation
Updated as of March 01, 2020
This is not the most recent data for Cary Health and Rehabilitation. For the most recent information, click here.
A list of the most recent deficiencies for Cary Health and Rehabilitation. 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? |
|---|---|---|---|---|
| Use approved construction type or materials. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Install an approved automatic sprinkler system. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-11-25 | 2020-02-24 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-11-25 | 2020-02-24 | 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 | 2019-11-06 | 2019-11-30 | 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 | 2019-11-06 | 2019-11-30 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2019-11-06 | 2019-11-30 | N |
| Let each resident or the resident's legal representative access or purchase copies of all the resident's records. | Health | 2019-11-06 | 2019-11-30 | Y |
| Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances. | Health | 2019-11-06 | 2019-11-30 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2019-11-06 | 2019-11-30 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2019-06-25 | 2019-07-23 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2019-06-25 | 2019-07-23 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2019-06-25 | 2019-07-23 | Y |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2019-01-29 | 2019-02-04 | N |
| Have properly located and lighted "Exit" signs. | Fire Safety | 2019-01-29 | 2019-02-04 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2019-01-29 | 2019-02-04 | N |
| Have simulated fire drills held at unexpected times. | Fire Safety | 2019-01-29 | 2019-02-04 | N |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2019-01-29 | 2019-02-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2019-01-11 | 2019-01-30 | N |
| Ensure each resident receives an accurate assessment. | Health | 2019-01-11 | 2019-01-30 | N |
| Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed. | Health | 2019-01-11 | 2019-01-30 | N |
| Ensure medication error rates are not 5 percent or greater. | Health | 2019-01-11 | 2019-01-30 | N |
| Develop and implement policies and procedures for flu and pneumonia vaccinations. | Health | 2019-01-11 | 2019-01-30 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2018-11-06 | 2019-01-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-11-06 | 2019-01-11 | Y |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2018-11-06 | 2019-01-11 | Y |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-11-06 | 2019-01-11 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2018-11-06 | 2019-01-11 | Y |
| Provide and implement an infection prevention and control program. | Health | 2018-11-06 | 2019-01-11 | Y |
| Provide safe, appropriate pain management for a resident who requires such services. | Health | 2018-09-23 | 2019-01-11 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-11-27 | 2018-11-30 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-09-23 | 2018-11-06 | Y |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2018-09-23 | 2018-11-06 | Y |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2018-09-23 | 2018-11-06 | 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 | 2018-09-23 | 2018-11-06 | Y |
| 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 | 2018-09-23 | 2018-11-06 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2018-09-23 | 2018-11-06 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2018-09-23 | 2018-11-06 | Y |
| Administer the facility in a manner that enables it to use its resources effectively and efficiently. | Health | 2018-09-23 | 2018-11-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-08-17 | 2018-11-06 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2018-09-23 | 2018-11-05 | Y |
| Use approved construction type or materials. | Fire Safety | 2018-03-15 | 2018-03-16 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2018-03-15 | 2018-03-16 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2018-02-08 | 2018-03-13 | 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 | 2018-02-08 | 2018-03-13 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2018-02-08 | 2018-03-13 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2018-02-08 | 2018-03-13 | N |
| Use approved construction type or materials. | Fire Safety | 2018-02-05 | 2018-02-16 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-12-21 | 2018-02-08 | Y |
| 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 | 2017-12-21 | 2018-02-08 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2017-12-21 | 2018-02-08 | Y |
| Ensure that residents are free from significant medication errors. | Health | 2017-12-21 | 2018-02-08 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2017-12-21 | 2018-02-08 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-08-08 | 2017-08-18 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-08-08 | 2017-08-18 | Y |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2017-04-24 | 2017-05-15 | Y |
| Keep accurate, complete and organized clinical records on each resident that meet professional standards. | Health | 2017-04-24 | 2017-05-15 | Y |
