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Deficiency Records for Liberty Commons Nursing and Rehabilitation Center Of
View the most recent health deficiencies and inspection results for Liberty Commons Nursing and Rehabilitation Center Of. Stay informed about quality of care issues.
View the most recent health deficiencies and inspection results for Liberty Commons Nursing and Rehabilitation Center Of. Stay informed about quality of care issues.
| Deficiency | Type of Deficiency | Deficiency Date | Date Corrected | Resulted from a Complaint? |
|---|---|---|---|---|
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2025-11-20 | 2025-12-19 | N |
| Provide for the safe, appropriate administration of IV fluids for a resident when needed. | Health | 2025-11-20 | 2025-12-19 | N |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2025-11-20 | 2025-12-19 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2025-11-20 | 2025-12-19 | N |
| Ensure each resident receives an accurate assessment. | Health | 2025-11-20 | 2025-12-19 | N |
| Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. | Health | 2025-11-20 | 2025-12-19 | N |
| Honor the resident's right to organize and participate in resident/family groups in the facility. | Health | 2025-11-20 | 2025-12-19 | N |
| Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Have a battery powered remote alarm panel in a location accessible by operating personnel. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Have properly installed electrical wiring and gas equipment. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Install corridor and hallway doors that block smoke. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Inspect, test, and maintain automatic sprinkler systems. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Provide properly protected cooking facilities. | Fire Safety | 2024-07-12 | 2024-10-06 | N |
| Develop and maintain an Emergency Preparedness Program (EP). | Fire Safety | 2024-07-12 | 2024-08-12 | 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 | 2024-07-12 | 2024-08-12 | Y |
| 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 | 2024-07-12 | 2024-08-12 | N |
| Provide safe, appropriate dialysis care/services for a resident who requires such services. | Health | 2024-07-12 | 2024-08-12 | N |
| Provide safe and appropriate respiratory care for a resident when needed. | Health | 2024-07-12 | 2024-08-12 | N |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2024-07-12 | 2024-08-12 | Y |
| PASARR screening for Mental disorders or Intellectual Disabilities | Health | 2024-07-12 | 2024-08-12 | N |
| Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. | Health | 2024-04-25 | 2024-05-10 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2024-04-25 | 2024-05-10 | Y |
| Provide timely, approved x-ray services, or have an agreement with an approved provider to obtain them. | Health | 2024-04-25 | 2024-03-19 | Y |
| Conduct mandatory training, for all staff, on the facility?s Quality Assurance and Performance Improvement Program. | Health | 2023-12-08 | 2023-12-21 | Y |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-12-08 | 2023-12-21 | Y |
| Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. | Health | 2023-12-08 | 2023-12-21 | Y |
| Provide appropriate treatment and care according to orders, resident?s preferences and goals. | Health | 2023-12-08 | 2023-12-21 | Y |
| Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | Health | 2023-12-08 | 2023-12-21 | Y |
| Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. | Health | 2023-12-08 | 2023-11-03 | Y |
| Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions. | Fire Safety | 2023-04-21 | 2023-08-15 | 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 | 2023-04-21 | 2023-08-15 | N |
| Have approved installation, maintenance and testing program for fire alarm systems. | Fire Safety | 2023-04-21 | 2023-08-15 | N |
| Properly install and monitor supervisory attachments on automatic sprinkler systems. | Fire Safety | 2023-04-21 | 2023-08-15 | N |
| Ensure smoke barriers are constructed to a 1 hour fire resistance rating. | Fire Safety | 2023-04-21 | 2023-08-15 | N |
| Provide and implement an infection prevention and control program. | Health | 2023-04-21 | 2023-06-06 | N |
| Set up an ongoing quality assessment and assurance group to review quality deficiencies and develop corrective plans of action. | Health | 2023-04-21 | 2023-06-06 | N |
| Dispose of garbage and refuse properly. | Health | 2023-04-21 | 2023-06-06 | N |
| Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | Health | 2023-04-21 | 2023-06-06 | N |
| Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | Health | 2023-04-21 | 2023-06-06 | 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 | 2023-04-21 | 2023-06-06 | 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 | 2023-04-21 | 2023-06-06 | N |
| Ensure each resident?s drug regimen must be free from unnecessary drugs. | Health | 2023-04-21 | 2023-06-06 | 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 | 2023-04-21 | 2023-06-06 | N |
| Provide enough food/fluids to maintain a resident's health. | Health | 2023-04-21 | 2023-06-06 | 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 | 2023-04-21 | 2023-06-06 | 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 | 2023-04-21 | 2023-06-06 | N |
| Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | Health | 2023-04-21 | 2023-06-06 | N |
| Assure that each resident?s assessment is updated at least once every 3 months. | Health | 2023-04-21 | 2023-06-06 | N |
| Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | Health | 2023-06-02 | 2023-05-26 | Y |
| Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | Health | 2023-04-21 | 2022-10-24 | N |