Deficiency Records for Liberty Commons Rehabilitation Center
Updated as of June 01, 2022
This is not the most recent data for Liberty Commons Rehabilitation Center. For the most recent information, click here.
A list of the most recent deficiencies for Liberty Commons Rehabilitation 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? |
|---|---|---|---|---|
| Allow resident to participate in the development and implementation of his or her person-centered plan of care. | Health | 2021-05-03 | 2021-05-28 | N |
| Ensure each resident receives an accurate assessment. | Health | 2021-05-03 | 2021-05-28 | 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 | 2021-05-03 | 2021-05-28 | N |
| Ensure services provided by the nursing facility meet professional standards of quality. | Health | 2021-05-03 | 2021-05-28 | 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 | 2021-05-03 | 2021-05-28 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2021-05-03 | 2021-05-28 | N |
| Post nurse staffing information every day. | Health | 2021-05-03 | 2021-05-28 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2021-05-03 | 2021-05-28 | 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 | 2021-05-03 | 2021-05-28 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2021-05-03 | 2021-05-28 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2021-05-03 | 2021-05-28 | N |
| Keep all essential equipment working safely. | Health | 2021-05-03 | 2021-05-28 | N |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2021-05-03 | 2021-05-28 | Y |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2021-05-03 | 2021-05-28 | Y |
| Provide and implement an infection prevention and control program. | Health | 2020-08-17 | 2020-08-31 | 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 | 2020-08-17 | 2020-08-28 | Y |
| Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. | Health | 2020-07-13 | 2020-07-31 | N |
| Keep aisles, corridors, and exits free of obstruction in case of emergency. | Fire Safety | 2020-01-09 | 2020-01-31 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2020-01-09 | 2020-01-31 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2020-01-09 | 2020-01-31 | N |
| Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | Health | 2019-11-21 | 2019-12-19 | N |
| 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 | 2019-11-21 | 2019-12-19 | 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 | 2019-11-21 | 2019-12-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-11-21 | 2019-12-19 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2019-11-21 | 2019-12-19 | N |
| Have exits that are accessible at all times. | Fire Safety | 2019-01-16 | 2019-03-02 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2019-01-16 | 2019-03-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2018-12-07 | 2019-01-04 | N |
| Protect each resident from the wrongful use of the resident's belongings or money. | Health | 2018-12-07 | 2019-01-04 | N |
| Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights. | Health | 2018-12-07 | 2019-01-04 | N |
| Provide appropriate pressure ulcer care and prevent new ulcers from developing. | Health | 2018-12-07 | 2019-01-04 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2018-12-07 | 2019-01-04 | N |
| Provide or obtain laboratory tests/services when ordered and promptly tell the ordering practitioner of the results. | Health | 2018-12-07 | 2019-01-04 | N |
