Deficiency Records for Liberty Commons Nsg and Rehab Ctr of Rowan County
Updated as of March 01, 2024
A list of the most recent deficiencies for Liberty Commons Nsg and Rehab Ctr of Rowan County. 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? |
|---|---|---|---|---|
| Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system. | Fire Safety | 2024-01-09 | 2024-02-02 | N |
| Meet requirements for the installation and maintenance of electrical systems. | Fire Safety | 2024-01-09 | 2024-02-02 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2023-12-15 | 2024-01-05 | N |
| Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. | Health | 2023-12-15 | 2024-01-05 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-12-15 | 2024-01-05 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-15 | 2024-01-05 | N |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-15 | 2024-01-05 | Y |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2023-12-15 | 2023-12-15 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-12-15 | 2023-12-15 | N |
| Ensure each resident receives an accurate assessment. | Health | 2023-12-15 | 2023-12-15 | 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 | 2023-12-15 | 2023-12-15 | N |
| Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. | Health | 2023-04-28 | 2023-05-02 | Y |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-04-28 | 2023-04-05 | Y |
| Have generator or other power source capable of supplying service within 10 seconds. | Fire Safety | 2022-06-07 | 2022-06-27 | N |
| Allow residents to self-administer drugs if determined clinically appropriate. | Health | 2022-05-12 | 2022-05-31 | N |
| Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice. | Health | 2022-05-12 | 2022-05-31 | N |
| Allow residents to easily view the nursing home's survey results and communicate with advocate agencies. | Health | 2022-05-12 | 2022-05-31 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2022-05-12 | 2022-05-31 | N |
| Assess the resident when there is a significant change in condition | Health | 2022-05-12 | 2022-05-31 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2022-05-12 | 2022-05-31 | N |
| Ensure each resident receives an accurate assessment. | Health | 2022-05-12 | 2022-05-31 | 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 | 2022-05-12 | 2022-05-31 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2022-05-12 | 2022-05-31 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2022-05-12 | 2022-05-31 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2019-11-26 | 2019-12-20 | N |
| Assess the resident completely in a timely manner when first admitted, and then periodically, at least every 12 months. | Health | 2019-10-24 | 2019-11-19 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2019-10-24 | 2019-11-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2019-10-24 | 2019-11-19 | N |
| Ensure that feeding tubes are not used unless there is a medical reason and the resident agrees; and provide appropriate care for a resident with a feeding tube. | Health | 2019-10-24 | 2019-11-19 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2019-10-24 | 2019-11-19 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2019-10-24 | 2019-11-19 | N |
| Have a plan that describes the process for conducting QAPI and QAA activities. | Health | 2019-10-24 | 2019-11-19 | N |
